Individual
MR. BARRY CHILDS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIANS ASSISTANT
Contact information
Practice address
30500 VAN DYKE AVE STE 203, WARREN, MI 48093-2109
(248) 480-9066
(248) 480-9062
Mailing address
751 E 9 MILE RD, STE 100, FERNDALE, MI 48220-1990
(248) 336-2850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601001288
MI
Other
Enumeration date
02/23/2010
Last updated
01/10/2019
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