Individual
DEE ANN M SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
830 E GREEN BAY AVE STE 100, SAUKVILLE, WI 53080-2662
(262) 284-7117
Mailing address
830 E GREEN BAY AVE STE 100, SAUKVILLE, WI 53080-2662
(262) 284-7117
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
42200
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34082000
—
WI
Enumeration date
07/17/2006
Last updated
07/08/2007
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