Individual
DR. BECKY JO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
15959 HALL RD, SUITE 206, MACOMB, MI 48044-3904
(586) 566-9300
(586) 566-5955
Mailing address
15959 HALL RD, SUITE 206, MACOMB, MI 48044-3904
(586) 566-9300
(586) 566-5955
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101010421
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4195410
—
MI
Enumeration date
12/02/2005
Last updated
07/26/2012
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