Individual
MRS. BRIANNA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 W 12 MILE RD, MADISON HEIGHTS, MI 48071-4439
(248) 543-0600
Mailing address
36105 GRAND RIVER AVE, APT 103, FARMINGTON, MI 48335-3037
(734) 358-4825
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007665
MI
Other
Enumeration date
04/16/2016
Last updated
04/16/2016
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