Individual
MRS. EMILY J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
W14080 W POINT DR, PRAIRIE DU SAC, WI 53578-9564
(920) 728-2711
Mailing address
W14080 W POINT DR, PRAIRIE DU SAC, WI 53578-9564
(920) 728-2711
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2161
WI
Other
Enumeration date
06/20/2007
Last updated
12/29/2025
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