Individual
MR. CHARLES SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15030 AUBURN ST, DETROIT, MI 48223-2140
(313) 854-5770
Mailing address
15030 AUBURN ST, DETROIT, MI 48223-2140
(313) 854-5770
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
04/18/2025
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