Individual
MARTINEASE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5159 N 55TH ST, MILWAUKEE, WI 53218-4211
(414) 690-0395
Mailing address
5159 N 55TH ST, MILWAUKEE, WI 53218-4211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2339840
WI
Other
Enumeration date
04/27/2026
Last updated
04/27/2026
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