Individual
MR. EDWARD ADAM SMAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1515 GREENWOOD AVE., JACKSON, MI 49203
(517) 787-5710
(517) 787-9855
Mailing address
2766 WEST 11 MILE ROAD, SUITE #2, BERKLEY, MI 48072
(248) 542-2424
(248) 542-5621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704165138
MI
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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