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1902965965
CAROLYN SHANNON SMITH
MILWAUKEE, WI
NPI
1902965965
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: WI 38125)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- CAROLYN SHANNON SMITH M.D.
545 N 15TH ST
MILWAUKEE, WI 53233-2237
Phone number: 414-288-7184
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Mailing Address
-- CAROLYN SHANNON SMITH M.D.
240 W INDIAN CREEK CT
MILWAUKEE, WI 53217-2323
Phone number: 414-540-6593
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