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Individual

NATHAN SPANGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
611 SHERMAN AVE E, FORT ATKINSON, WI 53538-1960
(920) 568-5000
Mailing address
PO BOX 249, FORT ATKINSON, WI 53538-0249

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14901
WI
367500000X
Certified Registered Nurse Anesthetist
2017040887
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1336727452
WI
Enumeration date
03/30/2021
Last updated
11/20/2024
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