Individual
DR. REBECCA JILLANE SMITH
Active
Individual
DR. REBECCA JILLANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4351049983
MI
208000000X
Pediatrics Physician
4351049983
MI
2080P0202X
Pediatric Cardiology Physician
Primary
01099921A
IN
Other
Enumeration date
04/15/2022
Last updated
06/25/2026
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