NPI 1386159994

Dennis Smerko, CPOLPO

Practitioner Prosthetist Kenosha, WI

Practice location

Address: 5027 Green Bay Rd STE 124, Kenosha, WI 53144-1771
Phone: (262) 654-4300
Fax: (262) 654-4305

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 211.000089 (IL)

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence 213.000137 (IL)

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Registry record

NPI: 1386159994
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Dec 2017
Record last updated: 5 Dec 2017

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.