Individual
MCKENZIE M SPRANGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 496-4700
Mailing address
PO BOX 19070, GREEN BAY, WI 54307-9070
(920) 496-4700
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
5703
WI
363A00000X
Physician Assistant
Primary
5703-23
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194128
—
WI
Enumeration date
08/05/2021
Last updated
01/29/2025
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