Most Relevant Information
Provider Data
| NPI Number: | 1003438656 |
| Provider Name: | GARRETT SMIGELSKI PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 5601009924 |
Most Important Dates
| Enumeration Date: | 05/16/2020 |
| Last Updated: | 02/10/2021 |
Provider Practice Location
1215 E MICHIGAN AVE
LANSING
MI
489121811
Practice Location Phone/Fax
| Phone: | 5173643380 |
| Fax: | 5173643399 |
Provider Mailing Location
6392 SHAPPIE RD
CLARKSTON
MI
483481958
Provider Mailing Phone/Fax
| Phone: | 2484109785 |
| Fax: |