BRAD SMITH

DETROIT, MI
NPI1932166014
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MI  BS214534)
Enumeration Date2006-05-01
Last Update Date2007-07-08
Business Address
-- BRAD SMITH CRNA
6071 W OUTER DR
DETROIT, MI 48235-2624
Phone number: 952-442-9770
Mailing Address
-- BRAD SMITH CRNA
DEPT 203401 PO BOX 67000
DETROIT, MI 48267-0001
Phone number: 952-442-9770
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