Organization
MARK E SMITH DC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E SMITH DC (DOCTOR OWNER)
(810) 653-5507
Entity
Organization
Contact information
Practice address
1095 S STATE RD, DAVISON, MI 48423-1933
(810) 653-5507
(810) 658-8210
Mailing address
1095 S STATE RD, DAVISON, MI 48423-1933
(810) 653-5507
(810) 658-8210
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MS005682
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142733170
—
MI
01
—
950B51400
BLUE CROSS
MI
01
—
XX14476
HEALTH PLUS
MI
Enumeration date
04/29/2008
Last updated
04/29/2008
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