Individual
DR. MELANIE A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
818 FOREST LN, WATERFORD, WI 53185-4585
(262) 514-3700
(262) 514-3867
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(262) 514-3700
(262) 514-3867
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
39961
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30087300
—
WI
Enumeration date
08/24/2006
Last updated
03/07/2023
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