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Individual

LAURA FOX-SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
17000 KERCHEVAL AVE STE 205, BEAUMONT GROSSE POINTE PHYSICIANS & SURGEONS, GROSSE POINTE, MI 48230-1570
(313) 640-2424
(313) 640-2415
Mailing address
130 TOWN CENTER DR STE 203, BEAUMONT MEDICAL STAFF AFFAIRS, TROY, MI 48084-1744
(248) 585-8218
(248) 585-8266

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301050430
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2748683
MI
Enumeration date
08/09/2005
Last updated
10/22/2020
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