Individual
JUSTIN THOMAS SMEDES-HEPLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2300 HAGGERTY RD STE 1010, WEST BLOOMFIELD, MI 48323-2185
(248) 926-9111
Mailing address
75 W PALMER ST APT 23, DETROIT, MI 48202-3689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601009180
MI
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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