NPI 1154349900

Latisha a Smith-Chase, MD

Practitioner Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Johnson Creek, WI

Practice location

Address: 400 Doctors CT, Johnson Creek, WI 53038-9567
Phone: (920) 699-4000
Mailing address: PO Box 249, Fort Atkinson, WI 53538-0249

Registered specialties (2)

Undersea and Hyperbaric Medicine (Preventive Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2083P0011X Licence 73794-20 (WI)

Other Preventive Medicine providers in Wisconsin →

Internal Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 73794-20 (WI)

Other Internal Medicine providers in Wisconsin →

Registry record

NPI: 1154349900
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2006
Record last updated: 18 May 2026

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.