Individual
DR. STEPHAN JOHN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
11319 SOUTH SAGINAW STREET, GRAND BLANC, MI 48439-1268
(810) 694-2200
(810) 694-6750
Mailing address
11319 SOUTH SAGINAW STREET, GRAND BLANC, MI 48439-1268
(810) 694-2200
(810) 694-6750
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301007830
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01006003
HEALTH PLUS
MI
01
—
1006672
MCLAREN HEALTH ADVA
—
01
—
P00009050
MEDICARE RAILROAD CARRIER
—
Enumeration date
09/29/2006
Last updated
07/08/2007
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