Individual
AMY L SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
44555 WOODWARD AVE STE 203, PONTIAC, MI 48341-5033
(248) 334-4931
(248) 239-0492
Mailing address
44555 WOODWARD AVE STE 203, PONTIAC, MI 48341-5033
(248) 334-4931
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301072645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00180522
MEDICARE RAILROAD
MI
Enumeration date
06/01/2005
Last updated
09/16/2022
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