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Individual

F MATTHEW SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5085 ANNA DR STE A, TRAVERSE CITY, MI 49684-7475
(231) 935-0180
(231) 935-0099
Mailing address
5085 ANNA DR STE A, TRAVERSE CITY, MI 49684-7475
(231) 935-0180
(231) 935-0099

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
4301067433
MI
208200000X
Plastic Surgery Physician
ES067433
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103495242
MI
Enumeration date
01/18/2006
Last updated
02/25/2022
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