Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Rose Smolock

Individual provider Diagnostic Radiology Physician · NPI 1255699682

Amanda Rose Smolock is a Diagnostic Radiology Physician in Milwaukee, Wisconsin. Works from 5 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-3750
Fax: (414) 259-9290
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 4455 S 108th St, Greenfield, WI 53228-2504 — (414) 427-5310
  • W180n8085 Town Hall Rd, Menomonee Falls, WI 53051-3518 — (262) 257-3060
  • 3522 W Lisbon Ave, Milwaukee, WI 53208-1953 — (414) 935-8000
  • 4805 S Moorland Rd, New Berlin, WI 53151-7401 — (262) 798-7200

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 61428 (WI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 61428-20 (WI)

Record details

NPI number1255699682
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2012
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023
Mailing address9200 W Wisconsin Ave, Milwaukee, WI 53226-3522

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