Individual
DR. DEREK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
809 IROQUOIS CIR, BARABOO, WI 53913-1248
(608) 408-0065
Mailing address
809 IROQUOIS CIR, BARABOO, WI 53913-1248
(608) 408-0065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2013007171
MO
111N00000X
Chiropractor
2650
TN
111N00000X
Chiropractor
Primary
4980
WI
Other
Enumeration date
08/01/2014
Last updated
08/01/2014
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