Individual
MRS. SHARON M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
907-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42960900
—
WI
Enumeration date
08/03/2006
Last updated
03/07/2023
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