IndividualActive
Amanda Smolock
NPI 1255699682 · Vascular & Interventional Radiology Physician · Milwaukee, WI
Provider details
- NPI number
- 1255699682
- Entity type
- Individual
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- 61428-20 (WI)
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-3750
Fax: (414) 259-9290
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Registry dates
- Enumerated
- 2012-04-23
- Last updated
- 2023-11-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.