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ANDREW J SMITH JR MD MEMORIAL GROUP NPI 1336362532


NPI Information

NPI: 1336362532
Provider Name: ANDREW J SMITH JR MD MEMORIAL GROUP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
23077 GREENFIELD RD
STE 200
SOUTHFIELD, MI
ZIP 48075
Phone: (248) 424-8888
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ANDREW J SMITH JR MD MEMORIAL GROUP is a specialist in Southfield, MI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. ANDREW J SMITH JR MD MEMORIAL GROUP NPI is 1336362532. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

23077 GREENFIELD RD
STE 200
SOUTHFIELD, MI
ZIP 48075-709
Phone: (248) 424-8888

The provider's authorized official is J Gwendolyn Gordon .
The authorized official title is Md and has the following contact phone number (248) 424-8888.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 3/6/2009.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistNo
2174400000XSpecialistEC066609MICHIGANNo
3174400000XSpecialistJG023085MICHIGANYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1451303110MEDICAIDMICHIGAN
2H05380MEDICARE UPINMICHIGAN
3F13218MEDICARE UPINMICHIGAN
4ON15220MEDICARE ID-TYPE UNSPECIFIEDMICHIGAN
5450374110MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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