Individual
DR. LARRY SPRUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5900 N PORT WASHINGTON RD, SUITE 230, GLENDALE, WI 53217
(414) 962-4048
(414) 962-4052
Mailing address
5900 N PORT WASHINGTON RD, SUITE 230, GLENDALE, WI 53217
(414) 962-4048
(414) 962-4052
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
28595020
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31610100
—
WI
Enumeration date
07/17/2006
Last updated
07/08/2007
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