Organization
MARK ELLIS SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK E SMITH DC (DOCTOR/OWNER)
(810) 412-4008
Entity
Organization
Contact information
Practice address
723 N STATE RD, DAVISON, MI 48423-1129
(810) 412-4008
(810) 412-4007
Mailing address
723 N STATE RD, DAVISON, MI 48423-1129
(810) 412-4008
(810) 412-4007
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
07/28/2026
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