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Individual

STEPHEN SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
8806 DIXIE HWY, IRA, MI 48023-2473
(586) 725-7000
(586) 725-7003
Mailing address
8806 DIXIE HWY, IRA, MI 48023-2473
(586) 725-7000
(586) 725-7003

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
SS007675
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4450601
MI
Enumeration date
10/17/2006
Last updated
07/09/2007
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