Individual
DR. KRISTY MARIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28800 RYAN RD, SUITE 120, WARREN, MI 48092-4272
(586) 558-2860
(586) 558-4624
Mailing address
28800 RYAN RD, SUITE 120, WARREN, MI 48092-4272
(586) 558-2860
(586) 558-4624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01093465A
IN
207P00000X
Emergency Medicine Physician
4301095192
MI
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
4301095192
MI
Other
Enumeration date
07/07/2009
Last updated
10/30/2024
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