Organization
BRENT SMITH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT DAVID SMITH D.O. (OWNER)
(586) 803-1548
Entity
Organization
Contact information
Practice address
22433 MIDDLEBELT RD, FARMINGTON HILLS, MI 48336-3743
(248) 476-1900
(248) 476-8753
Mailing address
5576 PINE AIRES DR, STERLING HEIGHTS, MI 48314-1349
(586) 803-1458
(586) 977-6084
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5101011057
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4267288
—
MI
Enumeration date
07/30/2007
Last updated
07/30/2007
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