Individual
DIANE CZUK-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1900 WEALTHY ST SE, SUITE 290, GRAND RAPIDS, MI 49506-2969
(616) 774-8345
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4301049682
MI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301049682
MI
Other
Enumeration date
06/02/2006
Last updated
01/10/2023
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