Maryann Marie Smith
Maryann Marie Smith is a Physician Assistant in Bear Lake, Michigan. Qualified in 2018, 8 years ago. Practices with Crystal Lake Clinic PC, a 13-clinician group, works from 2 locations and accepts Medicare assignment.
- Years since qualifying
- 8
- In the registry since
- 2018
Practice location Address checks out
8225 Lake StBear Lake, MI 49614
Phone: (231) 864-3314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 8225 Lake St, Bear Lake, MI 49614 — (231) 864-3314
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1801363494 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 1, 2018 |
| Last updated in NPPES | June 7, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2018 (8 years in practice) |
| Group practice | Crystal Lake Clinic Pc — 13 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Bear Lake
-
Jacqueline J Norton, PA-C
8225 Lake St, Bear Lake, MI 49614 · (231) 864-3314