Individual
DR. MICHAEL J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
714 W HAMILTON AVE, EAU CLAIRE, WI 54701-6937
(715) 830-9990
(715) 830-9995
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
(715) 552-9784
(715) 835-6370
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
33571
WI
208000000X
Pediatrics Physician
33571
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31849300
—
WI
Enumeration date
03/23/2006
Last updated
03/11/2022
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