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Individual

DR. KIMBERLY MARIE SMUDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
1975 WILLOW DR, MADISON, WI 53706-1103
(608) 890-1504
Mailing address
1975 WILLOW DR, MADISON, WI 53706-1103
(608) 890-1504

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
497-156
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41153600
WI
Enumeration date
05/09/2008
Last updated
05/09/2008
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