Organization
LAUREL WOMENS MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOANN MARIE SMITH M.D. (PRESIDENT)
(248) 642-7710
Entity
Organization
Contact information
Practice address
36880 WOODWARD AVE, SUITE 201, BLOOMFIELD HILLS, MI 48304-0919
(248) 642-7710
(248) 642-1443
Mailing address
36880 WOODWARD AVE, SUITE 201, BLOOMFIELD HILLS, MI 48304-0919
(248) 642-7710
(248) 642-1443
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
JS053367
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699959932
BCBS OF MICHIGAN
MI
05
—
1699959932
—
MI
Enumeration date
12/21/2007
Last updated
10/06/2011
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