Organization
EVERSIDE HEALTH-STI BRODHEAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA SPIVEY (CENTRAL SUPPORT SPECIALIST)
(317) 869-3164
Entity
Organization
Contact information
Practice address
302 23RD ST, BRODHEAD, WI 53520-1918
(704) 529-6161
Mailing address
PO BOX 1433, PORTSMOUTH, NH 03802-1433
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Enumeration date
06/20/2022
Last updated
05/23/2025
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