Individual
DR. ISAAC THOMAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1414 W FAIR AVE STE 226, MARQUETTE, MI 49855-5409
(906) 449-1240
(906) 225-4838
Mailing address
1414 W FAIR AVE STE 226, MARQUETTE, MI 49855-5409
(906) 449-1240
(906) 225-4838
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301506678
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
06/21/2022
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