Individual
EDWARD F SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1140 N. STATE STREET, ST. IGNACE, MI 49781
(906) 643-0405
(906) 643-1553
Mailing address
1140 N. STATE STREET, ST. IGNACE, MI 49781
(906) 643-0405
(906) 643-1553
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301046523
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4432292
—
MI
Enumeration date
07/18/2006
Last updated
11/18/2016
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