Provider Demographics
NPI:1730277278
Name:SMETANA, CHRISTINE ANNE (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:ANNE
Last Name:SMETANA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:0088 MEDICAL GROUP @ 88 MDG/SGHJ
Mailing Address - Street 2:4881 SUGAR MAPLE DR, BLDG 830
Mailing Address - City:WRIGHT-PATTERSON AFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433
Mailing Address - Country:US
Mailing Address - Phone:937-257-8718
Mailing Address - Fax:
Practice Address - Street 1:0088 MEDICAL GROUP @ 88 MDG/SGHJ
Practice Address - Street 2:4881 SUGAR MAPLE DR, BLDG 830
Practice Address - City:WRIGHT-PATTERSON AFB
Practice Address - State:OH
Practice Address - Zip Code:45433-5529
Practice Address - Country:US
Practice Address - Phone:372-578-7189
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2024-07-08
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Provider Licenses
StateLicense IDTaxonomies
VA01012390342083P0901X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine