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David J. Smith Md Pc
Family Nurse Practitioner in Grand Ledge, Michigan
NPI 1669523650

David J. Smith Md Pc is a Family Nurse Practitioner based in Grand Ledge, MI and is specialized in Family. David J. Smith Md Pc practices in Grand Ledge, MI. The NPI Number for David J. Smith Md Pc is 1669523650 and holds a License No. 6401007475 (Michigan).

The current practice location address for David J. Smith Md Pc is 1035 Charlevoix Dr Ste 100, Grand Ledge, MI and can be reached out via phone at 517-627-2181 and via fax at 517-622-1242.

Location: 1035 Charlevoix Dr Ste 100, Grand Ledge, MI, 48837-2223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669523650
Provider Name
David J. Smith Md Pc
Credential
Provider Entity Type
Organization
Address
1035 Charlevoix Dr Ste 100, Grand Ledge, MI, 48837-2223
Phone Number
517-627-2181
Fax Number
517-622-1242
Provider Enumeration Date
01/16/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
080B360240 01 MI BCBSM GROUP NUMBER
C1769 01 MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
1035 Charlevoix Dr Ste 100
City
Grand Ledge
State
Michigan
Zip
48837-2223
Phone Number
517-627-2181
Fax Number
517-622-1242
person
Provider Business Mailing Address Details
Address
1035 Charlevoix Dr Ste 100
City
Grand Ledge
State
Michigan
Zip
48837-2223
Phone Number
517-627-2181
Fax Number
517-622-1242
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
4704208405 (Michigan)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
DS030055 (Michigan)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
6401007475 (Michigan)
Definition
Definition to come...
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