Individual
DR. JAMES ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 JOHN ST, SUITE M-230, KALAMAZOO, MI 49007
(269) 349-8601
(269) 349-6446
Mailing address
601 JOHN ST STE M-206C, KALAMAZOO, MI 49007-5359
(855) 618-2676
(269) 488-8284
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
4301039031
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109248
GREAT LAKES HLTH PLN
—
05
—
1770529455
—
MI
01
—
200C910540
BCBS GRP PIN
MA
05
—
2999235-10
—
MI
01
—
3403900580
BCBS IND PIN
MI
01
—
5010702
AETNA PIN
—
Enumeration date
06/21/2006
Last updated
11/27/2023
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