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Contact Information

GLENN A SMITH, MD
2219 GARFIELD ST
TWO RIVERS, WI54241
 Phone: 920-793-2281
 Fax: 920-793-3669
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for GLENN A SMITH · (Male)

NPI Number 1295842409
Status Active
Credentials MD
Entity Individual
Enumeration date 08/24/2006
Last updated 01/15/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 31392
  • WI Medicaid 31673600
Hospital affiliation(s)
  • AURORA MED CTR MANITOWOC CTY - (Acute Care)
    5000 MEMORIAL DRIVE
    TWO RIVERS, WI 54241
  • HOLY FAMILY MEMORIAL INC - (Acute Care)
    2300 WESTERN AVE
    MANITOWOC, WI 54221
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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