Individual
COURTNEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
359 N GARDEN ST, ALPENA, MI 49707-3235
(989) 657-0116
Mailing address
359 N GARDEN ST, ALPENA, MI 49707-3235
(989) 657-0116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601010812
MI
Other
Enumeration date
06/23/2020
Last updated
10/25/2021
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