| Michael J Smith MD SC | |
|
714 W Hamilton Ave Eau Claire WI 54701-6937 | |
| (715) 830-9990 | |
| (715) 830-9995 |
| Full Name | Michael J Smith MD SC |
|---|---|
| Speciality | Internal Medicine |
| Location | 714 W Hamilton Ave, Eau Claire, Wisconsin |
| Authorized Official Name and Position | Michael J Smith (DIRECTOR PRESIDENT) |
| Authorized Official Contact | 7158309990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael J Smith MD SC 714 W Hamilton Ave Eau Claire WI 54701-6937 Ph: (715) 830-9990 | Michael J Smith MD SC 714 W Hamilton Ave Eau Claire WI 54701-6937 Ph: (715) 830-9990 |
| NPI Number | 1336210988 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 02/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336210988 | NPI | - | NPPES |
| 31849300 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33571 (Wisconsin) | Primary |
| 208000000X | Pediatrics | 33571 (Wisconsin) | Secondary |
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