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Amanda Rose Smolock
Vascular & Interventional Radiology Physician in Milwaukee, Wisconsin
NPI 1255699682

Amanda Rose Smolock is a Vascular & Interventional Radiology Physician based in Milwaukee, WI and is specialized in Vascular & Interventional Radiology. Amanda Rose Smolock practices in Milwaukee, WI. The NPI Number for Amanda Rose Smolock is 1255699682 and holds a License No. 61428-20 (Wisconsin).

The current practice location address for Amanda Rose Smolock is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-3750 and via fax at 414-259-9290.

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255699682
Provider Name
Amanda Rose Smolock
Credential
Provider Entity Type
Individual
Gender
Female
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-3750
Fax Number
414-259-9290
Provider Enumeration Date
04/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255699682 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
Milwaukee
State
Wisconsin
Zip
53226-3522
Phone Number
414-805-3750
Fax Number
414-259-9290
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
Milwaukee
State
Wisconsin
Zip
53226-3522
Phone Number
414-805-3750
Fax Number
414-259-9290
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
61428 (Wisconsin)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
61428-20 (Wisconsin)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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