Individual
DR. JAMES BERNARD SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 203, SOUTHFIELD, MI 48075-4825
(248) 569-4897
(248) 569-5226
Mailing address
6685 FRANKLIN RD, BLOOMFIELD, MI 48301-2924
(248) 932-2813
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
4301041027
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3017905
—
MI
Enumeration date
05/18/2006
Last updated
01/15/2010
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