Organization · NPI-2

Brent Smith, PLLC

Clinic/Center · Farmington Hills, MI

NPI number1083804702
StatusActive
Last updated in NPPESJul 30, 2007

Details

NPI
1083804702
Entity type
Organization (NPI-2)
Legal business name
Brent Smith, PLLC
Organization subpart
No
Enumeration date
Jul 30, 2007
Last updated
Jul 30, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center5101011057MIYes

Practice location

22433 Middlebelt Rd
Farmington Hills, MI 48336-3743

Phone 248-476-1900 · Fax 248-476-8753

Mailing address

5576 Pine Aires Dr
Sterling Heights, MI 48314-1349

Phone 586-803-1458 · Fax 586-977-6084

Authorized official

Brent David Smith
Owner
5868031548

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