Maryann Marie Smith

NPI #1801363494 in Bear Lake, Michigan

Provider Information

NPI Number: 1801363494
Entity Type: Individual
Name: Maryann Marie Smith
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Nov 1, 2018
Last Updated: Jun 7, 2019

Practice Location

Address: 8225 LAKE ST
City: Bear Lake
State: Michigan
ZIP Code: 49614
Phone: (231) 864-3314

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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