Individual
CHRISTINA M SPOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF ANESTHESIOLOGY, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
37218
IA
207L00000X
Anesthesiology Physician
Primary
64215
WI
207L00000X
Anesthesiology Physician
R7094
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639380314
—
WI
01
—
70466
WELLMARK BCBS
IA
Enumeration date
05/24/2007
Last updated
07/27/2015
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