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Individual

DR. ELAINE C SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
21258 M 68 HWY, ONAWAY, MI 49765-9692
(989) 733-2082
(989) 733-8487
Mailing address
PO BOX 427, HILLMAN, MI 49746-0427
(989) 354-2197

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101013616
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080Z410300
BLUE SHIELD
05
4620407
MI
Enumeration date
09/21/2006
Last updated
12/06/2013
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