Individual
DR. PETER TRENT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3410 E 12 MILE RD STE B, WARREN, MI 48092-2593
(586) 588-5020
(586) 920-2503
Mailing address
3410 E 12 MILE RD STE B, WARREN, MI 48092-2593
(586) 588-5020
(586) 920-2503
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301053454
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3044214
—
MI
Enumeration date
11/29/2006
Last updated
08/01/2022
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