Individual
STEFAN H SMIETANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2689
(800) 653-6568
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101009762
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265922411
—
MI
01
—
700H262210
BLUE CROSS-BLUE CROSS
—
01
—
SS009762
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
11/29/2006
Last updated
05/06/2026
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