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Contact Information

RICK J SMITH, MD
1504 E GRAND RIVER AVE
SUITE100
EAST LANSING, MI48823-4921
 Phone: 517-908-3040
 Fax: 517-908-0856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery Within the Head and Neck

2082S0099X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for RICK J SMITH · (Male)

NPI # 1104934603
Status Active
Credentials MD
Entity Individual
Enumeration date 08/26/2006
Last updated 05/02/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4301051137
  • MI Medicaid 3160115
  • MI Other 2403303571 BCBS OF MICHIGAN
  • MI Other 13 70017 PHP FAMILY CARE
  • MI Other 13 00007 PHP OF MID MICHIGAN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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