Individual
CHARLENE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3901 BEAUBIEN ST, DETROIT, MI 48201-2119
(313) 745-5437
Mailing address
22341 W 8 MILE RD, DETROIT, MI 48219-1217
(313) 255-2209
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301066586
MI
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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