Individual
BRIAN DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
2200 N CANTON CENTER RD STE 150, CANTON, MI 48187-5037
(734) 981-9410
Mailing address
8613 SOMERSET LN, YPSILANTI, MI 48198-9558
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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