Individual
MARIAH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5215 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1469
(574) 335-5000
Mailing address
600 EAST BLVD, ELKHART, IN 46514-2483
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02007736A
IN
Other
Enumeration date
06/09/2021
Last updated
01/12/2025
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