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Individual
KENNETH E SPARR
Active
Individual
KENNETH E SPARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
35645
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13893
DEAN HEALTH PLAN
—
01
—
16800226
MEDICARE PART B
—
01
—
2013057
PHYSICIANS PLUS
—
05
—
34110500
—
WI
01
—
35645-20
WI STATE LIC
WI
01
—
390808509
CIGNA
—
01
—
390808509DN
UNITY
—
Enumeration date
10/03/2006
Last updated
03/02/2012
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