Individual
JOANNA SMOGOLESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7400
(920) 793-7402
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 793-7400
(920) 793-7402
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5945
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100039828
—
WI
Enumeration date
08/25/2014
Last updated
11/30/2023
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