Individual
MR. SAMUEL SHERMAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 274-7154
Mailing address
790 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 274-7154
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
4704280815
MI
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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