Individual
MICHAEL J SMITH
Active
Individual
MICHAEL J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01063120
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036141508
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000517783
ANTHEM
IN
05
—
200858510
—
IN
Enumeration date
07/15/2005
Last updated
03/23/2017
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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