Individual
MICHELLE R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5344 CHATEAU THIERRY BLVD, WHITE LAKE, MI 48383-2610
(248) 979-3888
Mailing address
5344 CHATEAU THIERRY BLVD, WHITE LAKE, MI 48383-2610
(248) 979-3888
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
MI
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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