| Brent Smith, Pllc | |
|
22433 Middlebelt Rd Farmington Hills MI 48336-3743 | |
| (248) 476-1900 | |
| (248) 476-8753 |
| Full Name | Brent Smith, Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 22433 Middlebelt Rd, Farmington Hills, Michigan |
| Authorized Official Name and Position | Brent David Smith (OWNER) |
| Authorized Official Contact | 5868031548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Smith, Pllc 5576 Pine Aires Dr Sterling Heights MI 48314-1349 Ph: (586) 803-1458 | Brent Smith, Pllc 22433 Middlebelt Rd Farmington Hills MI 48336-3743 Ph: (248) 476-1900 |
| NPI Number | 1083804702 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083804702 | NPI | - | NPPES |
| 4267288 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5101011057 (Michigan) | Primary |
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