Organization
SPINE CAPITAL WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KOFFIE MD (CEO)
(812) 756-8888
Entity
Organization
Contact information
Practice address
2105 E ENTERPRISE AVE FL 2, APPLETON, WI 54913-7862
(920) 333-8878
Mailing address
2105 E ENTERPRISE AVE, APPLETON, WI 54913-7862
(920) 333-8878
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
02/14/2025
Last updated
12/23/2025
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