Smith, Mark

Smith, Mark is an individual health care provider with primary practice located at 16001 W 9 Mile Rd , Southfield MI 48075-4818. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Smith, Mark can be contacted via phone (248) 849-3000.

Contact Information

Primary practice address
16001 W 9 Mile Rd Southfield MI 48075-4818
Phone: (248) 849-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301068364 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301068364 Michigan

Profile Details

NPI number 1598795106
LBN Legal business name Smith, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Jun 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598795106 NPPES
Michigan MEDICAID 104288626
Michigan Other MS068364
Michigan MEDICAID 104129951
Michigan MEDICAID 104274943

Popular Providers