Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. EDWARD LAWRENCE SMITH, D.O.
Active Sole ProprietorDR. EDWARD LAWRENCE SMITH, D.O. is a Facial Plastic Surgery healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1962617845 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · SHEBOYGAN, WI
Registration Details
- NPI Number
- 1962617845
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2007 (19.264558475961 yrs)
- Last Updated
- Sep 15, 2016
- Licenses
-
5101016859 (MI)55826-21 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1411 N TAYLOR DRSHEBOYGAN, WI, 530813043Browse WI providers · Browse ZIP 53081
- Phone
- 6167353257
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.