Individual
DR. BRADLEY J. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
22230 75TH ST, SALEM, WI 53168-9465
(262) 843-3013
(262) 843-2427
Mailing address
22230 75TH ST, SALEM, WI 53168-9465
(262) 843-3013
(262) 843-2427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1784-012
WI
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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