Individual
MR. MARC SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
334 WASHINGTON AVE APT 103F, ELYRIA, OH 44035-5113
(216) 633-5710
Mailing address
334 WASHINGTON AVE APT 103F, ELYRIA, OH 44035-5113
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
08/24/2021
Last updated
08/24/2021
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