Individual
DOUGLAS S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
N84 W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051
(262) 251-7500
(262) 251-7128
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 251-7500
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27805
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30747600
—
WI
Enumeration date
07/07/2006
Last updated
10/04/2023
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