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Individual

SARA JORDAN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
215 E MANSION ST STE 3D, MARSHALL, MI 49068-1167
(269) 558-0702
Mailing address
215 E MANSION ST STE 3D, MARSHALL, MI 49068-1167
(269) 558-0702

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
510123179
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/21/2017
Last updated
08/17/2021
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