Individual
MR. MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10 BARTON AVE, AUBURN, ME 04210-6707
(207) 784-4185
Mailing address
10 BARTON AVE, AUBURN, ME 04210-6707
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
R030932
ME
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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