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Contact Information

BERNARD SMITH, MD
1428 N FARWELL AVE
MILWAUKEE, WI53202-2904
 Phone: 414-278-0424
 Fax: 414-278-0521
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ambulatory Family Planning Facility

261QA0005X
Indicates primary specialty

NPI Profile & details for BERNARD SMITH · (Male)

NPI Number 1720131097
Status Active
Credentials MD
Entity Individual
Enumeration date 01/19/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 29107-020
  • WI Medicaid 31978700
Hospital affiliation(s) Not Available
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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