Individual
DR. PERRY SCOTT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
108 RAUDMAN PLZ, KALKASKA, MI 49646-7400
(231) 258-9874
Mailing address
625 SECOND ST, TRAVERSE CITY, MI 49684-2220
(231) 922-5060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009450
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC31758
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/10/2008
Last updated
12/12/2008
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