Individual
THOMAS CARL SMEDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
118 W MAPLE AVE, BEAVER DAM, WI 53916-2104
(920) 356-1000
(920) 356-0719
Mailing address
118 W MAPLE AVE, BEAVER DAM, WI 53916-2104
(920) 356-1000
(920) 356-0719
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
51029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100024431
—
WI
01
—
61337
DEAN HEALTH SYSTEMS
WI
Enumeration date
11/08/2006
Last updated
03/04/2014
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