Individual
MADDISON K SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
71050 VAN DYKE RD, BRUCE TWP, MI 48065-3898
(586) 277-0244
Mailing address
1 FORD PL STE 3A, DETROIT, MI 48202-3450
(313) 874-4806
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704326587
MI
363LP2300X
Primary Care Nurse Practitioner
4704326587NSA21098
MI
Other
Enumeration date
05/05/2021
Last updated
03/10/2025
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