Individual
DAVID G SMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
1507 DOCTORS CT, WATERTOWN, WI 53094-4101
(920) 261-4111
Mailing address
1507 DOCTORS CT, WATERTOWN, WI 53094-4101
(920) 261-4111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12142-33
WI
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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