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Bruce Smith
NPI 1285768374 · on the registry since 2007 · sole proprietor
Practice
- Address
- 5477 N Johnson Rd
Michigan City, IN 46360 - Phone
- (219) 879-8563
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1223G0001X
1223G0001X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Indiana