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1174168710
RENEE R SMITH
GREEN BAY, WI
NPI
1174168710
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Former Name
RENEE R DETTMAN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: WI 148970-32)
Enumeration Date
2019-11-07
Last Update Date
2019-11-08
Business Address
RENEE R SMITH CNM,APNP
720 S VANBUREN ST SUITE 101
GREEN BAY, WI 54301-3504
Phone number: 920-433-3420
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Mailing Address
RENEE R SMITH CNM,APNP
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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