Individual
GERALD HERSCHEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4413 CORUNNA RD, FLINT, MI 48532-4321
(810) 733-0900
Mailing address
1110 ELDON BAKER DR, FLINT, MI 48507-1923
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6301000860
MI
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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