Individual provider · Type 1 NPI

Edward Lawrence Smith, DO

Otolaryngology/Facial Plastic Surgery Physician · Sheboygan, WI

NPI number 1962617845 Active

Practice location

1411 N Taylor Dr
Sheboygan, WI 53081-3043

Mailing address

PO Box 19070
Green Bay, WI 54307-9070

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X5101016859 (MI)
Otolaryngology/Facial Plastic Surgery Physician Primary 207YX0905X55826-21 (WI)

Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

31 other providers at this address

About NPI 1962617845

Edward Lawrence Smith, DO's National Provider Identifier is 1962617845, issued on May 13, 2007. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Sheboygan, WI. The record was last updated on Sep 15, 2016.