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Individual

DR. JOSHUA RYAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4100 LAKE DR SE STE B01, GRAND RAPIDS, MI 49546-8292
(616) 267-7400
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301107367
MI

Other

Enumeration date
06/26/2015
Last updated
09/03/2021
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