Individual
DR. MARK ELLIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
723 N STATE RD, DAVISON, MI 48423-1129
(810) 412-4008
(810) 412-4007
Mailing address
723 N STATE RD, DAVISON, MI 48423-1129
(810) 412-4008
(810) 412-4007
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301005682
MI
111N00000X
Chiropractor
MS005682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142733170
—
MI
01
—
950B514000
BLUE CROSS
MI
01
—
XX14476
HEALTH PLUS
MI
Enumeration date
03/26/2007
Last updated
07/09/2026
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