EDWARD LAWRENCE SMITH

SHEBOYGAN, WI
NPI1962617845
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: WI  55826-21)
Additional Taxonomies207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: MI  5101016859)
Enumeration Date2007-05-13
Last Update Date2016-09-15
Business Address
Dr. EDWARD LAWRENCE SMITH D.O.
1411 N TAYLOR DR
SHEBOYGAN, WI 53081-3043
Phone number: 616-735-3257
Mailing Address
Dr. EDWARD LAWRENCE SMITH D.O.
PO BOX 19070
GREEN BAY, WI 54307-9070
Phone number: 920-457-2100
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