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Individual

ANTON C SMETS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD PSYD

Contact information

Practice address
101 N FARWELL ST STE 204, EAU CLAIRE, WI 54703-3767
(715) 514-4600
(715) 514-4008
Mailing address
101 N FARWELL ST STE 204, EAU CLAIRE, WI 54703-3767
(715) 514-4600
(715) 514-4008

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
845057
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
23941
SECURITY HEALTH PLAN
WI
05
39019900
WI
01
6103256
MEDICA UBH UHC
MN
01
637871026351
PREFERRED ONE
MN
01
8H005SM
BCBS MN
MN
01
HP18916
HEALTH PARTNERS
MN
Enumeration date
04/25/2006
Last updated
03/24/2014
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