Individual
DR. STACIE ANNICE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2150 W CENTRAL AVE FL 3, TOLEDO, OH 43606-3834
(419) 291-3221
Mailing address
2150 W CENTRAL AVE FL 3, TOLEDO, OH 43606-3834
(419) 291-3221
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
4301509001
MI
2083X0100X
Occupational Medicine Physician
Primary
35.152463
OH
2083X0100X
Occupational Medicine Physician
4301509001
MI
Other
Enumeration date
07/10/2008
Last updated
03/26/2025
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