Individual
DR. BASIL P SPYROPOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
926 S 8TH ST, MANITOWOC, WI 54220-4535
(920) 683-4230
Mailing address
PO BOX 764, LAKE GENEVA, WI 53147-0764
(262) 248-2640
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
47302
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47302
STATE LICENSE
WI
Enumeration date
07/02/2006
Last updated
11/11/2010
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