Search › Wisconsin › 2083P0011X

Latisha Smith-Chase, M.D

NPI 1154349900 · on the registry since 2006 · sole proprietor

Practice

Address
400 Doctors Ct
Johnson Creek, WI 53038
Phone
(920) 699-4000
Organisation at this address
Rock River Community Clinic, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
2083P0011X
2083P0011X
Also registered as
207R00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin