Mr. Barry Childs Smith, PHYSICIANSASSISTANT
Mr. Barry Childs Smith, PHYSICIANSASSISTANT is a Physician Assistant in Warren, Michigan. Licensed in Michigan. Registered with an NPI since 2010.
- Licensed in
- MI
- In the registry since
- 2010
Practice location Address checks out
30500 Van Dyke Ave Ste 203Warren, MI 48093-2109
Phone: (248) 480-9066
Fax: (248) 480-9062
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601001288 (MI) |
|---|
Record details
| NPI number | 1851613475 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PHYSICIANSASSISTANT |
| Sole proprietor | No |
| NPI enumerated | February 23, 2010 |
| Last updated in NPPES | January 10, 2019 |
| Mailing address | 751 E 9 Mile Rd, Ste 100, Ferndale, MI 48220-1990 |
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