Individual
SPENCER ALLEN SHUPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APNP
Contact information
Practice address
272 CHRISTY ST, AMHERST, WI 54406-9390
(715) 824-5151
Mailing address
936 KRONENWETTER DR APT 5, KRONENWETTER, WI 54455-6215
(715) 321-3321
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13166
WI
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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