Individual
PATRICIA ELIZABETH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 W SPRING ST, MARQUETTE, MI 49855-4661
(906) 225-7210
Mailing address
200 W SPRING ST, MARQUETTE, MI 49855-4661
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704186932
MI
Other
Enumeration date
03/20/2019
Last updated
03/20/2019
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