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Individual

DR. GEORGE F. SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E COLUMBIA ST, MASON, MI 48854-1381
(517) 244-8940
(517) 244-8941
Mailing address
PO BOX 13008, LANSING, MI 48901-3008
(517) 364-6253
(517) 364-6208

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301039078
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0803310351
BCBS INDIVIDUAL PIN
MI
05
2942180
MI
05
3342440
MI
05
4275350
MI
Enumeration date
10/12/2006
Last updated
07/08/2007
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