Individual
MARCUS ANTWAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
950 E 9 MILE RD, HAZEL PARK, MI 48030-1839
(313) 215-1840
Mailing address
950 E 9 MILE RD, HAZEL PARK, MI 48030-1839
(313) 215-1840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
534225
OH
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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