Provider Demographics
NPI:1285890517
Name:SMITH, MARIA E (MD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:SMITH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:5105 W BRISTOL RD
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48507-2955
Mailing Address - Country:US
Mailing Address - Phone:810-733-0822
Mailing Address - Fax:810-733-5567
Practice Address - Street 1:5105 W BRISTOL RD
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48507-2955
Practice Address - Country:US
Practice Address - Phone:810-733-0822
Practice Address - Fax:810-733-5567
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301091552207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine