Individual
DR. DONALD SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 W UNIVERSITY DR, ROCHESTER, MI 48307-1863
(248) 652-5454
(248) 601-6198
Mailing address
1905 N HAMMOND LAKE DR, BLOOMFIELD HILLS, MI 48302-0139
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301048619
MI
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
4301048619
MI
208D00000X
General Practice Physician
4301048619
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104285016
—
MI
01
—
11289144
CAQH
MI
01
—
DS048619
BC/BS
MI
Enumeration date
06/13/2006
Last updated
07/30/2024
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