Individual
DENNIS SMERKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
5027 GREEN BAY RD STE 124, KENOSHA, WI 53144-1771
(262) 654-4300
(262) 654-4305
Mailing address
5027 GREEN BAY RD STE 124, KENOSHA, WI 53144-1771
(262) 654-4300
(262) 654-4305
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
213.000137
IL
224P00000X
Prosthetist
Primary
211.000089
IL
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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