Individual
SETH E SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2424 S 90TH ST FL 3, WEST ALLIS, WI 53227-2455
(414) 328-8080
(414) 328-8350
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 328-8080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
41274
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033137815
—
WI
Enumeration date
07/18/2006
Last updated
05/17/2023
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