Individual
MRS. MICHELLE LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
4235 SECOR RD, TOLEDO, OH 43623-4299
(419) 479-5728
Mailing address
128 BIRCHCREST DR, PERRYSBURG, OH 43551-1801
(419) 508-6707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0033738
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0033738
OH
Other
Enumeration date
05/01/2023
Last updated
07/12/2023
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