Individual
TAMMY SMEDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RTR
Contact information
Practice address
2626 N 76TH ST, 105, MILWAUKEE, WI 53213-1137
(414) 771-9171
Mailing address
2626 N 76TH ST, 105, MILWAUKEE, WI 53213-1137
(414) 771-9171
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
Primary
256392
WI
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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