Individual
MICHAEL TED SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2930 SQUALICUM PKWY, SUITE 101, BELLINGHAM, WA 98225-1854
(360) 733-0430
(360) 733-0438
Mailing address
2930 SQUALICUM PKWY, SUITE 101, BELLINGHAM, WA 98225-1854
(360) 733-0430
(360) 733-0438
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2003010743
MO
2085R0202X
Diagnostic Radiology Physician
2007015094
MO
2085R0202X
Diagnostic Radiology Physician
Primary
MD00048913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8511198
—
WA
01
—
8947248
CRIME VICTIMS
WA
Enumeration date
03/24/2007
Last updated
09/30/2008
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