Individual
MS. SARAH JEANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1411 N TAYLOR DR, SHEBOYGAN, WI 53081-3043
(920) 457-4858
(920) 457-3650
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 457-4858
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
53959-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2008
Last updated
09/15/2016
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