Dr. Michael Washburn Smith
Family Doctor - Geriatric Medicine
3145 W Clark Rd Suite 201
Ypsilanti
, Michigan 48197-1120
Dr. Michael Washburn Smith
Family Doctor - Geriatric Medicine
3145 W Clark Rd Suite 201
Ypsilanti
, Michigan 48197-1120
(734) 572-9100
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. Michael Washburn Smith
- 3145 W Clark Rd Suite 201
- Ypsilanti, MI
- Zip : 48197-1120
- Fax : (734) 572-9100
- Phone : (734) 528-5700
Second Address
- Dr. Michael Washburn Smith
- 3145 W Clark Rd Suite 201
- Ypsilanti, MI
- Zip : 48197-1120
- Fax : (734) 572-9100
- Phone : (734) 528-5700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | MS029991 | MI |
National Provider Identifier
| NPI | 1043351356 |
|---|---|
| Provider Name | Dr. Michael Washburn Smith |
| First Address | Ypsilanti, MI 48197-1120 |
| Second Address | Ypsilanti, MI 48197-1120 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2007 |
| Last Update Date | 10/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0H10528 | BCBS (01) | MI |
| 1043351356 | (05) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.