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Individual

KRISTI D SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6366
Mailing address
1821 S STOUGHTON RD, MADISON, WI 53716-2257
(608) 260-6000
(608) 260-6366

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
70018-21
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1629502091
WI
Enumeration date
04/12/2017
Last updated
12/27/2020
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