Individual
DR. CALVIN D. SPRIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
(715) 261-8667
Mailing address
800 N 1ST ST, WAUSAU, WI 54403-4754
(715) 261-8500
(715) 261-8667
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
38943
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001639155
MEDICARE
WI
01
—
1864
MEDICAL LICENSE
SD
01
—
29416
MEDICAL LICENSE
MN
05
—
31369700
—
WI
01
—
35.088385
MEDICAL LICENSE
OH
01
—
38943-20
WI MEDICAL LICENSE
WI
01
—
MD-31013
MEDICAL LICENSE
IA
Enumeration date
11/25/2005
Last updated
03/13/2015
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