Individual
DAWN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4202 W OAKWOOD PARK CT, SUITE 120, FRANKLIN, WI 53132-9118
(414) 855-2800
(414) 855-2801
Mailing address
4202 W OAKWOOD PARK CT, SUITE 120, FRANKLIN, WI 53132-9118
(414) 855-2800
(414) 855-2801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
465-023
WI
363AM0700X
Medical Physician Assistant
465-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255584165
—
WI
Enumeration date
10/23/2008
Last updated
01/24/2022
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