Individual
MR. SPENCER LEVI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 364-1000
Mailing address
9295 JASON RD, LAINGSBURG, MI 48848-9216
(989) 370-2164
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704294008
MI
Other
Enumeration date
05/03/2021
Last updated
10/09/2023
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