Individual
AMANDA M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
(231) 882-9661
(231) 882-9616
Mailing address
6227 FRANKFORT HWY, BENZONIA, MI 49616-8632
(231) 882-9661
(231) 882-9616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301502862
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4301115648
LICENSE
MI
Enumeration date
06/08/2018
Last updated
11/28/2023
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