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Spencer Rotter
Student in an Organized Health Care Education/Training Program in Oak Creek, Wisconsin
NPI 1245700145

Spencer Rotter is a Student in an Organized Health Care Education/Training Program based in Oak Creek, WI. Spencer Rotter practices in Oak Creek, WI. The NPI Number for Spencer Rotter is 1245700145 and holds a License No. (Wisconsin).

The current practice location address for Spencer Rotter is 10025 S 11Th Ave, Oak Creek, WI and can be reached out via phone at 414-465-9245.

Location: 10025 S 11Th Ave, Oak Creek, WI, 53154-6003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245700145
Provider Name
Spencer Rotter
Credential
Provider Entity Type
Individual
Gender
Male
Address
10025 S 11Th Ave, Oak Creek, WI, 53154-6003
Phone Number
414-465-9245
Fax Number
Provider Enumeration Date
12/04/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10025 S 11Th Ave
City
Oak Creek
State
Wisconsin
Zip
53154-6003
Phone Number
414-465-9245
Fax Number
person
Provider Business Mailing Address Details
Address
10025 S 11Th Ave
City
Oak Creek
State
Wisconsin
Zip
53154-6003
Phone Number
414-465-9245
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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