Individual
JOHN R SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2005 MIDWAY RD, MENASHA, WI 54952-7002
(920) 832-8500
Mailing address
PO BOX 8003, APPLETON, WI 54912-8003
(920) 996-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35860-020
WI
Other
Enumeration date
04/20/2006
Last updated
02/29/2012
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