Individual
JOSEPH DOUGLAS SMUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
36132
IA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01060331A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
36132
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0469718
—
IA
01
—
39298
WELLMARK BCBS
IA
Enumeration date
11/03/2005
Last updated
08/07/2014
Update your record
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