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Individual

JAMES STANLEY SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
833 LEONARD ST NW, GRAND RAPIDS, MI 49504-4147
(616) 458-7978
(616) 458-3719
Mailing address
833 LEONARD ST NW, GRAND RAPIDS, MI 49504-4147
(616) 458-7978
(616) 458-3719

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002499
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5038350
MI
Enumeration date
10/24/2006
Last updated
04/23/2010
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