Individual
DR. JAN E. SMOLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
561 SEMINOLE RD, MUSKEGON, MI 49444-3719
(231) 733-1111
(231) 733-1144
Mailing address
561 SEMINOLE RD, MUSKEGON, MI 49444-3719
(231) 733-1111
(231) 733-1144
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
5901001917
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133524970
—
MI
01
—
4856110650
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/26/2006
Last updated
12/09/2013
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