NPI 1063981710

Jon Maurice Smoots

Practitioner Prevention Professional Milwaukee, WI

Practice location

Address: 7710 W. Casper Street, Milwaukee, WI 53216
Phone: (414) 231-1925

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 1319081 (WI)

Other Prevention Professional providers in Wisconsin →

Registry record

NPI: 1063981710
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Nov 2018
Record last updated: 23 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.