Individual
CHRISTOFER SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
(313) 916-1601
Mailing address
2799 W GRAND BLVD, DETROIT, MI 48202-2608
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351054429
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2025
Last updated
05/15/2025
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