Individual
JULIAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 PETERBORO ST, DETROIT, MI 48201-2722
(313) 578-6123
Mailing address
421 WHIPPERS IN CT, BLOOMFIELD HILLS, MI 48304-3073
(248) 219-5323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704325799
MI
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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