Individual
SPENCER RILEY GANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 N MEADE ST STE 330, APPLETON, WI 54911-3454
(920) 749-4000
Mailing address
1818 N MEADE ST STE 330, APPLETON, WI 54911-3454
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
70641-20
WI
Other
Enumeration date
03/22/2017
Last updated
11/21/2024
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