person
Colleen Gleason Smith, PA-C
Medical Physician Assistant in Milwaukee, Wisconsin
NPI 1518450915

Colleen Gleason Smith is a Medical Physician Assistant based in Milwaukee, WI and is specialized in Medical. Colleen Gleason Smith practices in Milwaukee, WI and has the professional credentials of PA-C. The NPI Number for Colleen Gleason Smith is 1518450915 and holds a License No. 4367-23 (Wisconsin).

The current practice location address for Colleen Gleason Smith is 9200 W Wisconsin Ave, Milwaukee, WI and can be reached out via phone at 414-805-6250 and via fax at 414-805-7210. You can also correspond with Colleen Gleason Smith through the mailing address at 9200 W WISCONSIN AVE, MILWAUKEE, WI - 53226-3522 (mailing address contact number: 414-805-6250).

Location: 9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
person
Provider Profile Details
NPI Number
1518450915
Provider Name
Colleen Gleason Smith
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9200 W Wisconsin Ave, Milwaukee, WI, 53226-3522
Phone Number
414-805-6250
Fax Number
414-805-7210
Provider Enumeration Date
06/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1518450915 05 WI
institution
Provider Business Practice Location Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-6250
Fax Number
414-805-7210
person
Provider Business Mailing Address Details
Address
9200 W Wisconsin Ave
City
State
Zip
53226-3522
Phone Number
414-805-6250
Fax Number
414-805-7210
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
4367-23 (Wisconsin)
Definition
Definition to come...
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