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Dr. Stephen Timothy Smith, MD
Cardiovascular Disease Physician in Detroit, Michigan
NPI 1457429987

Stephen Timothy Smith is a Cardiovascular Disease Physician based in Birmingham, MI and is specialized in Cardiovascular Disease. Stephen Timothy Smith practices in Detroit, MI and has the professional credentials of MD. The NPI Number for Stephen Timothy Smith is 1457429987 and holds a License No. 036-124708 (Michigan).

The current practice location address for Stephen Timothy Smith is 2799 W Grand Blvd, Detroit, MI and can be reached out via phone at 800-653-6568 and via fax at 313-876-1305.

Location: 2799 W Grand Blvd, Detroit, MI, 48009-3302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457429987
Provider Name
Stephen Timothy Smith
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2799 W Grand Blvd, Detroit, MI, 48009-3302
Phone Number
800-653-6568
Fax Number
313-876-1305
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060H264410 01 BLUE CROSS-BLUE CROSS
143671610 05 MI
SS044365 01 CHAMPUS-CHAMPUS
SS044365 01 COMMERCIAL-COMMERCIAL NUMBER
institution
Provider Business Practice Location Address Details
Address
2799 W Grand Blvd
City
Detroit
State
Michigan
Zip
48202-2608
Phone Number
800-653-6568
Fax Number
313-876-1305
person
Provider Business Mailing Address Details
Address
2799 W Grand Blvd
City
Detroit
State
Michigan
Zip
48202-2608
Phone Number
800-653-6568
Fax Number
313-876-1305
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
036-124708 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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