Individual
DR. REBECCA MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
463 EAST CIRCLE DRIVE, EAST LANSING, MI 48824-1037
(517) 884-6503
(517) 355-9265
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 884-2976
(517) 432-3928
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301101982
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528227709
—
MI
Enumeration date
06/03/2008
Last updated
06/07/2021
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