Search › Wisconsin › 103TC0700X
Mervin Smucker, PH.D
NPI 1215094917 · on the registry since 2007 · sole proprietor
Practice
- Address
- 6110 N Port Washington Rd
Milwaukee, WI 53217 - Phone
- (414) 403-4949
- Fax
- (574) 537-0567
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- WI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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