Individual
DR. CHRISTOPHER PERRY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
501 SOUTH DRAKE ROAD, KALAMAZOO, MI 49009-3234
(269) 343-1296
(269) 344-8485
Mailing address
501 SOUTH DRAKE ROAD, KALAMAZOO, MI 49009-3234
(269) 343-1296
(269) 344-8485
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301085348
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0403912021
BCBS IND PIN
MI
01
—
040C910710
BCBS GRP PIN
MI
01
—
155430
GREAT LAKES HLTH PLN
—
05
—
4810330-10
—
MI
01
—
5983218
AETNA PIN
—
Enumeration date
06/22/2006
Last updated
09/12/2012
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