Richard G Smith
Cardiothoracic Vascular Surgeon
1221 6th St Suite 202
Traverse City
, Michigan 49684-2359
Richard G Smith
Cardiothoracic Vascular Surgeon
1221 6th St Suite 202
Traverse City
, Michigan 49684-2359
(231) 935-5736
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About
Features
Specialties
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Richard G Smith
- 1221 6th Street Suite 202
- Traverse City, MI
- Zip : 49684
- Fax : (231) 935-5736
- Phone : (231) 935-5730
Second Address
- Richard G Smith
- 1221 6th St Suite 202
- Traverse City, MI
- Zip : 49684-2359
- Fax : (231) 935-5736
- Phone : (231) 935-5730
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208G00000X | Cardiothoracic Vascular Surgeon | 4301062767 | MI |
National Provider Identifier
| NPI | 1093938193 |
|---|---|
| Provider Name | Richard G Smith |
| First Address | Traverse City, MI 49684 |
| Second Address | Traverse City, MI 49684-2359 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/04/2007 |
| Last Update Date | 16/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 2999128 | (05) | MI |
| D26527 | (02) | 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.