Individual
DR. MICHAEL DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1057 PAUL MAILLARD ROAD, LULING, LA 70070-4349
(985) 785-6242
Mailing address
1514 JEFFERSON HIGHWAY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35085414
OH
207P00000X
Emergency Medicine Physician
Primary
MD.207563
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01083050
—
MS
05
—
2392948
—
LA
05
—
2577920
—
OH
Enumeration date
06/08/2006
Last updated
10/27/2015
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