Susan Jayne Smith, PA

NPI #1790932168 in Buchanan, Michigan

Provider Information

NPI Number: 1790932168
Entity Type: Individual
Name: Susan Jayne Smith, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 27, 2008
Last Updated: Aug 27, 2008

Practice Location

Address: 1045 E FRONT ST
City: Buchanan
State: Michigan
ZIP Code: 49107-8474
Phone: (269) 695-5540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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