Individual
JUSTIN JOSHUA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2300 HAGGERTY RD, WEST BLOOMFIELD, MI 48323-2184
(248) 926-9111
Mailing address
5301 MCAULEY DR, YPSILANTI, MI 48197-1051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/09/2018
Last updated
12/06/2018
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