Individual
STEFAN M SMOLENSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
23829 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080-1186
(586) 773-1300
Mailing address
1022 BEDFORD RD, GROSSE POINTE PARK, MI 48230-1409
(313) 801-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704279492
MI
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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