Individual
SHARON ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
425 MILWAUKEE AVE, SUITE ONE, BURLINGTON, WI 53105-1230
(262) 763-9128
(262) 763-9120
Mailing address
425 MILWAUKEE AVE, SUITE ONE, BURLINGTON, WI 53105-1230
(262) 763-9128
(262) 763-9120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22539
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30289800
—
WI
Enumeration date
01/29/2007
Last updated
07/08/2007
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