Individual
ERIC G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1035 CHARLEVOIX DR, SUITE 100, GRAND LEDGE, MI 48837-2223
(517) 627-2181
Mailing address
1035 CHARLEVOIX DR, SUITE 100, GRAND LEDGE, MI 48837-2223
(517) 627-2181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ES076441
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0802310081
BCBS INDIVIDUAL PIN
MI
01
—
P00103325
MEDICARE RAILROAD
—
01
—
P260036F
BCN PIN
MI
Enumeration date
11/20/2006
Last updated
01/30/2014
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