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Individual

ELIZABETH SPRAGUE

Active
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Individual

ELIZABETH SPRAGUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.135865
OH
207R00000X
Internal Medicine Physician
68328
WI
207R00000X
Internal Medicine Physician
68328-20
WI
207RG0100X
Gastroenterology Physician
Primary
68328-20
WI
208M00000X
Hospitalist Physician
35.135865
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100073370
WI
Enumeration date
05/09/2016
Last updated
01/26/2026
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