Dr. Marc Lloyd Smith , DO
General Practice • Wauwatosa, WI
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Marc Smith has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Marc Smith, DO was a registered General Practice practicing in Wauwatosa, WI. Throughout an active medical career spanning 17 years, Dr. Smith provided care at the practice location at 11803 W NORTH AVE until profile deactivation on 2023-02-08.
Practice Location & Contact Primary Location
11803 W North Ave
Wauwatosa, WI 53226
Specialty Benchmarks & Practice Insights
Comparative analytics for General Practice in Wauwatosa, WI
Practicing in Wauwatosa, WI (130 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Medicine (M.D.)
Anesthesiology
Doctor of Osteopathic Medicine (D.O.)
General Practice
General Practice
Doctor of Osteopathic Medicine (D.O.)
General Practice
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 08, 2023
NPI status registered as active in NPPES database
Registered at 11803 W NORTH AVE, WAUWATOSA, WI 53226 (Tel: 4142585522)
Registered at 11803 W NORTH AVE, WAUWATOSA, WI 53226 (Tel: 4142585522)
Recorded as MARC SMITH, DO
General Practice (License #55305525818307 in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
11803 W North Ave
Wauwatosa, WI 53226
Phone: 4142585522
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