Individual
MATTHEW JOHN SPRISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
2793 LINEVILLE RD, GREEN BAY, WI 54313-7152
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10344-33
WI
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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