Individual
ANDREA MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7800 W OUTER DR, DETROIT, MI 48235-3296
(313) 543-6200
Mailing address
7800 W OUTER DR, DETROIT, MI 48235-3296
(313) 543-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101024910
MI
Other
Enumeration date
03/09/2016
Last updated
03/22/2021
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