Individual
DR. DONALD L. SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 HAYES AVE, BLDG D, SANDUSKY, OH 44870-7248
(419) 627-8771
(419) 627-0363
Mailing address
2800 HAYES AVE, BLDG D, SANDUSKY, OH 44870-7248
(419) 627-8771
(419) 627-0363
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
201992-1
NY
208800000X
Urology Physician
35047933
OH
208800000X
Urology Physician
MD423775
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016316680003
—
PA
05
—
01627361
—
NY
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039858
PA MEDICARE GROUP
PA
01
—
P00098894
RR MEDICARE PIN
PA
Enumeration date
02/21/2006
Last updated
12/06/2011
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