Individual
DANIEL RAY-TOTTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
570 E DIVISION ST, ROCKFORD, MI 49341-1323
(616) 863-3150
(616) 863-8742
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006226
MI
Other
Enumeration date
12/14/2011
Last updated
02/22/2013
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