MICHAEL SMITH

SALEM, IL
NPI1497842785
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: IL  070009216)
Enumeration Date2006-10-06
Last Update Date2007-07-08
Business Address
Mr. MICHAEL SMITH PT
1250 W WHITTAKER ST
SALEM, IL 62881-1917
Phone number: 618-241-2128
Mailing Address
Mr. MICHAEL SMITH PT
PO BOX 503861
SAINT LOUIS, MO 63150-0001
Phone number: 618-241-2128
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