Individual
DR. GARY O SMOTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1314 S LINDEN RD, FLINT, MI 48532-3456
(810) 342-1700
(810) 720-4035
Mailing address
401 S BALLENGER HWY, FLINT, MI 48532-3638
(810) 342-1000
(810) 342-1590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008388
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0450162003
CIGNA
MI
01
—
080093094
METRAHEALTH
MI
01
—
080D410020
BLUE CARE NETWORK
MI
01
—
0852500134
BLUE CROSS BLUE SHIELD
MI
01
—
0882500135
HEALTH PLUS
MI
01
—
204396
MCLAREN HEALTH PLAN
MI
01
—
4335474
AETNA
MI
05
—
4386823
—
MI
01
—
B47870
HEALTH NET SERVICES
MI
01
—
C1600
MCARE
MI
Enumeration date
10/18/2005
Last updated
09/15/2011
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