Individual
BERNARD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1428 N FARWELL AVE, MILWAUKEE, WI 53202-2904
(414) 278-0424
(414) 278-0521
Mailing address
1428 N FARWELL AVE, MILWAUKEE, WI 53202-2904
(414) 278-0424
(414) 278-0521
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
29107-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31978700
—
WI
Enumeration date
01/19/2007
Last updated
07/08/2007
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