Individual
BRIAN D SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
212 STURGEON EDDY RD, WAUSAU, WI 54403-6625
(715) 842-0491
Mailing address
3000 WESTHILL DR, SUITE 303, WAUSAU, WI 54401-3795
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26492
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30728000
—
WI
Enumeration date
07/10/2006
Last updated
11/27/2023
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