Individual
MARIA ANN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-0350
(414) 805-0855
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2953-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013272434
—
WI
Enumeration date
07/11/2012
Last updated
03/22/2023
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