Individual
DUSTIN M SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSFA
Contact information
Practice address
2333 BIDDLE AVE, WYANDOTTE, MI 48192-4668
(734) 246-6039
Mailing address
5991 WEDDEL ST, TAYLOR, MI 48180-1386
(734) 246-6039
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
159079
MI
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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