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NPI Code Detail

MEDICARE: STEPHEN SMITH DC

MEDICARE:   STEPHEN  SMITH  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorSS007675MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871673368
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHEN SMITH DC
Provider Business Mailing Address
First Line : 8806 DIXIE HWY
Second Line :
City : IRA
State : MI
Zip : 48023-2473
Country : US
Telephone Number : 586-725-7000
Fax Number : 586-725-7003
Provider Business Practice Location Address
First Line : 8806 DIXIE HWY
Second Line :
City : IRA
State : MI
Zip : 48023-2473
Country : US
Telephone Number : 586-725-7000
Fax Number : 586-725-7003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/17/2006
Last Update Date : 07/09/2007

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Directions to “ STEPHEN SMITH DC” Practice Location

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