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Isaac Smith
NPI 1083189922 · on the registry since 2018
Practice
- Address
- 625 Kenmoor Ave Suite 301
Pmb 95061
Grand Rapids Mi, MI 49546 - Phone
- (267) 300-4857
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Also registered as
- 103K00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan