Individual
CHAD DEREK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6071 WEST OUTER DR., DETROIT, MI 48235
(313) 966-1020
Mailing address
6071 W OUTER DR, DETROIT, MI 48235-2624
(313) 966-1020
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301086270
MI
Other
Enumeration date
03/05/2008
Last updated
05/24/2008
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