Search › Michigan › 207R00000X
Nicholas Smith, DO
NPI 1558931295 · on the registry since 2021 · sole proprietor
Practice
- Address
- 800 E Milham Ave
Portage, MI 49002 - Phone
- (269) 280-9525
- Fax
- (269) 488-3615
- Organisation at this address
- Logan Stout Therapy Services,Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-05-01
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