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Individual

ERIC P SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
500 E POTTAWATAMIE ST, TECUMSEH, MI 49286-2018
(517) 423-2141
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5101011267
MI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
011267
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356389191
MI
05
4792232
MI
01
ES011267
BC/BS
MI
Enumeration date
06/03/2006
Last updated
06/11/2009
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