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1558002337
TIMOTHY SMITH
DETROIT, MI
NPI
1558002337
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
TIMOTHY SMITH MD
4160 JOHN R ST STE 1017
DETROIT, MI 48201-2017
Phone number: 313-745-4123
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Mailing Address
TIMOTHY SMITH MD
1290 HEIGHTS RD
LAKE ORION, MI 48362-2424
Phone number: 269-271-5257
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