Organization
NEW LIFE MEDICAL SENIOR CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL RAY SMALLEY D.O. (PRESIDENT)
(231) 233-1704
Entity
Organization
Contact information
Practice address
105 S WILDWOOD XING APT 20, LUDINGTON, MI 49431-8719
(231) 233-1704
Mailing address
570 SEMINOLE RD, SUITE 200, NORTON SHORES, MI 49444-3749
(231) 759-5065
(231) 780-6090
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
5101009049
MI
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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