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Individual

KARLA JEAN SPIKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1686 EISENHOWER RD, DE PERE, WI 54115-8145
(920) 496-4700
(920) 431-1982
Mailing address
PO BOX 19070, PREVEA HEALTH, GREEN BAY, WI 54307-9070
(920) 496-4700
(920) 431-1982

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
37928
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
33310300
WI
Enumeration date
07/11/2006
Last updated
07/22/2008
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