| Smith Medical Center | |
|
7800 W Outer Dr Suite 230 Detroit MI 48235-3461 | |
| (313) 535-0900 | |
| (313) 535-3810 |
| Full Name | Smith Medical Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 7800 W Outer Dr, Detroit, Michigan |
| Authorized Official Name and Position | Dwight Eric Smith (MEDICAL DIRECTOR/OWNER) |
| Authorized Official Contact | 3135350900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smith Medical Center Po Box 23088 Detroit MI 48223-0088 Ph: (313) 535-0900 | Smith Medical Center 7800 W Outer Dr Suite 230 Detroit MI 48235-3461 Ph: (313) 535-0900 |
| NPI Number | 1003849753 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 12/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003849753 | NPI | - | NPPES |
| 2587036 TYPE 10 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Michigan) | Primary |
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