Provider Demographics
NPI:1609264340
Name:SMILER, JOEL J (DVM)
Entity Type:Individual
Prefix:
First Name:JOEL
Middle Name:J
Last Name:SMILER
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48366-0429
Mailing Address - Country:US
Mailing Address - Phone:248-953-3181
Mailing Address - Fax:248-751-5900
Practice Address - Street 1:720 BURNSHILL DR
Practice Address - Street 2:
Practice Address - City:LEONARD
Practice Address - State:MI
Practice Address - Zip Code:48367-4204
Practice Address - Country:US
Practice Address - Phone:248-953-3181
Practice Address - Fax:248-751-5900
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-05
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6901003330174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian