Individual
MS. MICHELE G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106-2496
(207) 775-3446
(207) 879-1646
Mailing address
244 WESTERN AVE, SOUTH PORTLAND, ME 04106-2496
(207) 775-3446
(207) 879-1646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA637
ME
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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