Individual
ERICH GLENN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 LAKESHORE DR, ISHPEMING, MI 49849-1367
(906) 485-2632
Mailing address
25 OAK HILL DR, MARQUETTE, MI 49855-9446
(906) 361-6742
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
4301512347
MI
Other
Enumeration date
03/17/2019
Last updated
07/08/2024
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