Individual
MRS. MICHELLE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
113 MAPLETON RD, GROSSE POINTE FARMS, MI 48236-3614
(810) 772-1153
Mailing address
113 MAPLETON RD, GROSSE POINTE FARMS, MI 48236-3614
(810) 772-1153
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703112423
MI
Other
Enumeration date
03/10/2017
Last updated
03/10/2017
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