Individual
DR. DAVID R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
2636 EASTERN AVE, PLYMOUTH, WI 53073
(920) 893-4010
(920) 459-1163
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
31779-020
WI
2083X0100X
Occupational Medicine Physician
Primary
31779-020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31659900
—
WI
Enumeration date
08/24/2006
Last updated
09/11/2025
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