Individual
DR. GREGORY WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8195
Mailing address
18069 MARSAL DR, MACOMB, MI 48042-1187
(586) 207-1010
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5315022834
MI
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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