Individual
DR. DONALD WILFRED SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
211 S 4TH ST, CRYSTAL FALLS, MI 49920-1503
(906) 875-6681
(906) 875-3090
Mailing address
211 S 4TH ST, CRYSTAL FALLS, MI 49920-1503
(906) 875-6681
(906) 875-3090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101007427
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01536025605
BLUE CROSS BLUE SHIELD
MI
Enumeration date
10/05/2006
Last updated
07/08/2007
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