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Individual

SMITHA K HOLLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
20 S PARK ST, MADISON, WI 53715-1348
(608) 287-2090
(608) 833-6932
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
60972-20
WI
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
60972-20
WI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/26/2011
Last updated
11/02/2021
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