Individual
DONOVAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188-1106
(262) 696-0808
Mailing address
N16W24131 RIVERWOOD DR, WAUKESHA, WI 53188-1106
(262) 696-0808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
11/17/2024
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