Individual
DR. ANDRE' BLAIR SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4416 BLACKBERRY LN, LANSING, MI 48917-1633
(517) 775-9799
(877) 488-5507
Mailing address
4416 BLACKBERRY LN, LANSING, MI 48917-1633
(517) 775-9799
(877) 488-5507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301056626
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330434
BCBS
MI
05
—
4324357
—
MI
Enumeration date
02/09/2006
Last updated
07/21/2022
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