Individual
NOAH ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3935 N LIGHTNING DR, APPLETON, WI 54913-6717
(920) 968-1790
(920) 968-1794
Mailing address
801 YORK ST, MANITOWOC, WI 54220-4630
(920) 663-9008
(920) 684-1439
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301100701
MI
207ND0101X
MOHS-Micrographic Surgery Physician
4301100701
MI
Other
Enumeration date
05/18/2012
Last updated
01/14/2026
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