Individual
DR. PETER STANLEY SMYTHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3170 W CENTRAL AVE, TOLEDO, OH 43606-2945
(419) 534-3500
(419) 534-2608
Mailing address
PO BOX 20452, COLUMBUS, OH 43220-0452
(614) 442-2406
(614) 442-2410
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
35057455
OH
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
4301053621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000029112
ANTHEM-OH
OH
05
—
0743217
—
OH
01
—
220008700
RR - MCR
—
05
—
2644384
—
MI
01
—
461127
BCBS - MI
MI
Enumeration date
03/22/2006
Last updated
12/03/2013
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