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DR. PHILIP MICHAEL SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9576 HWY 70, MINOCQUA, WI 54548-9067
(715) 387-5236
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5702

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
53051
WI
207W00000X
Ophthalmology Physician
C134021
CA

Other

Enumeration date
05/11/2006
Last updated
04/25/2024
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