Individual
GABRIEL JOHN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1328 US HIGHWAY 2, CRYSTAL FALLS, MI 49920-1045
(906) 875-4486
Mailing address
7513 COUNTY 527 L RD, GLADSTONE, MI 49837-9109
(906) 399-2784
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601013267
MI
Other
Enumeration date
07/21/2025
Last updated
09/05/2025
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