Organization
SIDNEY J SMITH MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDNEY J. SMITH M.D. (OWNER)
(734) 457-3340
Entity
Organization
Contact information
Practice address
1086 N MONROE ST, MONROE, MI 48162-3193
(734) 457-3340
(734) 457-3910
Mailing address
1086 N MONROE ST, MONROE, MI 48162-3193
(734) 457-3340
(734) 457-3910
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1605823141
BLUE CROSS BLUE SHIELD
MI
Enumeration date
01/03/2007
Last updated
04/20/2008
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