Individual
ABBY L SMOLCICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
W5282 AMY AVE, APPLETON, WI 54915-7233
(920) 358-1900
(920) 358-1909
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
66612
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2015
Last updated
09/13/2018
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