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Individual

DR. BRIAN DARRELL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
1301 COUNTY ROAD G, MILLTOWN, WI 54858-2915
(715) 825-3974
Mailing address
1301 COUNTY ROAD G, MILLTOWN, WI 54858-2915
(715) 825-3974

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2728
WI

Other

Enumeration date
06/09/2006
Last updated
07/07/2009
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