Individual
TIFFANY DEBROUX SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 MINISTRY PKWY, WESTON, WI 54476-5220
(715) 393-3000
Mailing address
W7361 SOUTH ST, ANTIGO, WI 54409-9604
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
262134-30
WI
Other
Enumeration date
09/24/2025
Last updated
09/24/2025
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