Mary Smith, C.P.N.P

NPI 1588876254 · on the registry since 2007

Practice

Address: 3643 W Front St
Suite C
Traverse City, MI 49684
Phone: (231) 935-0614
Fax: (231) 935-0832
Organisation at this address: Associates In Dermatology Of Traverse City Pc
Northern Michigan Medicine And Pediatrics, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 363LP0200X
363LP0200X
Licence states on file: MI
From the registry's licence fields, which are often incomplete.
Sex: Female
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 Michigan