Individual
SHAE LYNN SMETANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5800
(414) 805-8097
Mailing address
1744 N ARLINGTON PL UNIT B, MILWAUKEE, WI 53202-3194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8104-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457185019
—
WI
Enumeration date
08/27/2024
Last updated
10/17/2024
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