Individual
DR. PATRICK RICHARD SMARCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1515 GREENWOOD AVE, JACKSON, MI 49203-4047
(517) 787-4513
(517) 787-6943
Mailing address
1515 GREENWOOD AVE, JACKSON, MI 49203
(517) 787-4513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301009356
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016757360001
—
PA
01
—
SM1882117
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/30/2006
Last updated
10/08/2018
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