JERRY WAYNE SMITH

MILWAUKEE, WI
NPI1457392573
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WI  10-023)
Enumeration Date2006-06-09
Last Update Date2007-07-08
Business Address
-- JERRY WAYNE SMITH PA
2801 W KINNICKINNIC RIVER PKWY SUITE 570
MILWAUKEE, WI 53215-3669
Phone number: 414-385-8780
Mailing Address
-- JERRY WAYNE SMITH PA
N106W7320 CHATHAM ST
CEDARBURG, WI 53012-3246
Phone number:
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