Smith, Richard G

Smith, Richard G is an individual health care provider with primary practice located at 1221 6Th St Suite 202, Traverse City MI 49684-2359. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Smith, Richard G can be contacted via phone (231) 935-5730.

Contact Information

Primary practice address
1221 6Th St Suite 202 Traverse City MI 49684-2359
Phone: (231) 935-5730
Fax: (231) 935-5736
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301062767 Michigan

Profile Details

NPI number 1093938193
LBN Legal business name Smith, Richard G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2007
Last updated Apr 16th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093938193 NPPES
Michigan MEDICAID 2999128

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