Individual
AVERY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3051 CAHILL MAIN, FITCHBURG, WI 53711-7109
(608) 661-7200
Mailing address
397 N BERGAMONT BLVD, OREGON, WI 53575-3715
(608) 843-3498
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10497-33
WI
Other
Enumeration date
02/28/2021
Last updated
11/05/2022
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