Individual
JONATHAN SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
22101 MOROSS RD, DETROIT, MI 48236-2148
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601006189
MI
Other
Enumeration date
09/15/2011
Last updated
09/15/2011
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