Individual
DONALD BROCK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
(414) 955-4575
Mailing address
8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226-3548
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
7387
OK
2085R0204X
Vascular & Interventional Radiology Physician
Primary
81799-21
WI
Other
Enumeration date
05/01/2020
Last updated
04/10/2025
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