Individual
SPENCER GEORGE MARTENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036163712
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
85100-20
WI
390200000X
Student in an Organized Health Care Education/Training Program
125.075325
IL
390200000X
Student in an Organized Health Care Education/Training Program
28488
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100331362
—
WI
01
—
28488
TRN#
FL
Enumeration date
06/12/2019
Last updated
09/10/2025
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