JUDY LYNN SMITH MD NPI 1154302172

NPI Information

Judy Lynn Smith, MD is a surgical oncology surgery in Grand Rapids, MI. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. Judy Lynn Smith, MD NPI is 1154302172. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

145 MICHIGAN ST NE
SUITE 5500
GRAND RAPIDS, MI
ZIP 49503-562
Phone: (616) 267-8540
Fax: (616) 458-6230

The NPI 1154302172 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/8/2005 and was last updated on 12/16/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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