| Doctor Name: | ALAN N SMIY |
| NPI Number: | 1114965845 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | AS073629 |
| Business Practice Address: | 3916 Stonegate Park Saint Joseph, MI - 490859144 |
| Business Phone Number: | 2694288000 |
| Business Fax Number: | |
| Mailing Address: | 1701 Lake Lansing Rd, Suite 100 LANSING |
| State: | MI |
| Postal Code: | 489123798 |
| Phone Number: | 5174850001 |
| Fax Number: | 5174851138 |
| NPI Enumeration Date: | 06/03/2006 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | AS073629 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |