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Individual

ERIC A SMILTNEEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
414 DOCTORS CT, OSHKOSH, WI 54901-2065
(920) 303-5100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51152
WI
207QA0401X
Addiction Medicine (Family Medicine) Physician
51152
WI
207RA0401X
Addiction Medicine (Internal Medicine) Physician
51152
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
35307200
WI
Enumeration date
10/18/2006
Last updated
03/03/2026
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