Individual
DAVID J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1035 CHARLEVOIX DR, SUITE 100, GRAND LEDGE, MI 48837-2223
(517) 627-2181
(517) 622-1242
Mailing address
1035 CHARLEVOIX DR, SUITE 100, GRAND LEDGE, MI 48837-2223
(517) 627-2181
(517) 622-1242
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301030055
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080079682
MEDICARE RAILROAD
—
01
—
P54028
BLUE CARE NETWORK
MI
Enumeration date
10/13/2006
Last updated
10/01/2013
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