Individual
BRIAN DANIEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 WILSON RD RM B119, EAST LANSING, MI 48824-6410
(517) 353-3070
(517) 884-1817
Mailing address
804 SERVICE RD STE A109B, EAST LANSING, MI 48824-7015
(517) 353-3070
(517) 884-1817
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301081727
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
4301081727
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629052790
—
MI
Enumeration date
12/02/2005
Last updated
06/23/2023
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