Individual
CORY SMID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9000 W WISCONSIN AVE # MS 716, MILWAUKEE, WI 53226-4874
(414) 266-4511
Mailing address
9000 W WISCONSIN AVE # MS 716, MILWAUKEE, WI 53226-4874
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18727
ABGC CERTIFICATION NUMBER
WI
Enumeration date
12/03/2019
Last updated
04/23/2020
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