Individual
ROBERT THOMAS SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
328 W SAGINAW RD, SANFORD, MI 48657-9689
(989) 687-7376
Mailing address
PO BOX 469, SANFORD, MI 48657-0469
(989) 687-7376
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301002881
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4505067
—
MI
Enumeration date
05/20/2006
Last updated
07/09/2007
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