Individual
JANE ANDREA SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
30200 TELEGRAPH RD, SUITE 220, BINGHAM FARMS, MI 48025-4502
(313) 258-5058
Mailing address
507 KENT ST, PORTLAND, MI 48875-1708
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4704107865
MI
Other
Enumeration date
05/15/2006
Last updated
07/08/2007
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