Individual
CHARLES GILES SMITH III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(888) 362-2500
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301100992
MI
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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