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Individual

DR. ZACHARY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6830
(414) 955-6214
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6830
(414) 955-6214

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
2016007352
MO
207RG0100X
Gastroenterology Physician
34.012657
OH
207RG0100X
Gastroenterology Physician
Primary
60377
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003048976
WI
Enumeration date
08/11/2009
Last updated
06/16/2020
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