Provider Demographics
NPI:1730208166
Name:SMITH, JOSHUA S (MD)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:S
Last Name:SMITH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6733 WEST MAPLE RD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322
Mailing Address - Country:US
Mailing Address - Phone:248-661-6100
Mailing Address - Fax:248-788-3177
Practice Address - Street 1:6733 WEST MAPLE RD
Practice Address - Street 2:SUITE 114
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322
Practice Address - Country:US
Practice Address - Phone:248-661-6100
Practice Address - Fax:248-788-3177
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2025-05-27
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Provider Licenses
StateLicense IDTaxonomies
MI4301088594207RA0401X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207RA0401XAllopathic & Osteopathic PhysiciansInternal MedicineAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1730208166Medicaid
MI1730208166Medicaid