Individual
MICHEAL ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8000 5 MILE RD, CINCINNATI, OH 45230-2163
(513) 232-0120
(513) 232-8483
Mailing address
4380 MALSBARY RD, SUITE 200, CINCINNATI, OH 45242-5644
(513) 366-4488
(513) 366-4480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35031906
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000238179
MIDDLETOWN
—
05
—
0326392
—
OH
01
—
2520418
UNITED
—
05
—
64734700
—
KY
Enumeration date
04/18/2006
Last updated
12/20/2007
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