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Individual

DR. DON OSCAR SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4576 W WALTON BLVD, WATERFORD, MI 48329-4905
(248) 618-3920
Mailing address
41313 ALTISSIMO DR, CLINTON TOWNSHIP, MI 48038-4998
(248) 205-9130

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301066484
MI
2084P0804X
Child & Adolescent Psychiatry Physician
D0055555
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
183003
COMPSYCH
05
395503600
MD
01
60559404
CAREFIRST MD
01
R5830016
CAREFIRST GHMSI
Enumeration date
10/06/2006
Last updated
10/14/2023
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