Individual
STEPHEN M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
44201 DEQUINDRE RD STE EC, TROY, MI 48085-1117
(248) 964-5111
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1848
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4701061923
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010F362460
BCBSM
MI
05
—
3284847
—
MI
Enumeration date
11/28/2006
Last updated
01/02/2025
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