Individual
KATE ELIZABETH SPOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
1469
NC
367H00000X
Anesthesiologist Assistant
Primary
52
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100045674
—
WI
Enumeration date
06/25/2012
Last updated
11/27/2024
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