Individual
ANDY W SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
424 1/2 S HEMLOCK RD, HEMLOCK, MI 48626-8784
(989) 890-1823
Mailing address
424 1/2 S HEMLOCK RD, HEMLOCK, MI 48626
(989) 890-1823
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
S530067866344
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7799329
HOME HEALTH PROVIDER
MI
Enumeration date
09/29/2015
Last updated
09/29/2015
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