Individual
MRS. LYNN THERESE SPINDLER- EBENSPERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C MMS
Contact information
Practice address
16490 W 78TH ST, EDEN PRAIRIE, MN 55346-4300
(715) 495-6385
Mailing address
815 2ND ST, PEPIN, WI 54759-9662
(715) 495-6385
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1110-023
WI
363A00000X
Physician Assistant
Primary
12507
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42979600
—
WI
Enumeration date
06/30/2006
Last updated
03/17/2018
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