Individual
MATTHEW NATHAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1104 CASS ST, TRAVERSE CITY, MI 49684-3236
(231) 941-1155
(231) 259-1005
Mailing address
1104 CASS ST, TRAVERSE CITY, MI 49684-3236
(231) 941-1155
(231) 259-1005
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704306664
MI
Other
Enumeration date
10/27/2021
Last updated
08/01/2024
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