Individual
DEAN T SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
391 SHORE HAVEN DR SE, GRAND RAPIDS, MI 49546-2257
(616) 479-8936
Mailing address
391 SHORE HAVEN DR SE, GRAND RAPIDS, MI 49546-2257
(616) 479-8936
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301028094
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4471960
—
MI
Enumeration date
05/31/2005
Last updated
03/02/2017
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