Individual
DR. DANIELLE M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
725 AMERICAN AVE, WAUKESHA MEMORIAL HOSPITAL-HOSPITALIST GROUP, WAUKESHA, WI 53188-5031
(262) 928-5400
Mailing address
725 AMERICAN AVE, WAUKESHA MEMORIAL HOSPITAL-HOSPITALIST GROUP, WAUKESHA, WI 53188-5031
(262) 928-5400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
51616-20
WI
208M00000X
Hospitalist Physician
Primary
51616-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1373J
BCBS NC
NC
01
—
35125900
TITLE 19 MEDICAID
WI
05
—
8904701
—
NC
05
—
891373J
—
NC
Enumeration date
08/17/2005
Last updated
02/24/2009
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