Individual
SPENCER A CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 201, MILWAUKEE, WI 53215-3677
(414) 385-8700
(414) 385-2799
Mailing address
900 OAKMONT LANE, OAKMONT, IL 60559-2452
(630) 734-0200
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1558-023
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42954900
—
WI
Enumeration date
02/28/2006
Last updated
11/29/2021
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