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Individual

MR. RICHARD SPENNER SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
931 NIAGARA LN, PORT WASHINGTON, WI 53074-1765
(414) 333-3217
(888) 503-3706
Mailing address
931 NIAGARA LN, PORT WASHINGTON, WI 53074-1765
(414) 333-3217
(888) 503-3706

Taxonomy

Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
02-04-05-025
WI

Other

Enumeration date
02/14/2011
Last updated
02/14/2011
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