| Doctor Name: | JOANNA SMOGOLESKI |
| NPI Number: | 1013317254 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 5945-33 |
| Business Practice Address: | 3711 S Taylor Dr Sheboygan, WI - 530818495 |
| Business Phone Number: | 9204572915 |
| Business Fax Number: | |
| Mailing Address: | 3407 Shoto Rd, TWO RIVERS |
| State: | WI |
| Postal Code: | 542419173 |
| Phone Number: | 9203237661 |
| Fax Number: | |
| NPI Enumeration Date: | 08/25/2014 |
| NPI Last Update Date: | 10/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5945-33 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |