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1396018875
SAMUEL SPENCER
MILWAUKEE, WI
NPI
1396018875
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 289123)
Enumeration Date
2012-02-15
Last Update Date
2017-04-21
Business Address
-- SAMUEL SPENCER PAC
10625 W NORTH AVE SUITE 102
MILWAUKEE, WI 53226-2315
Phone number: 414-877-5350
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Mailing Address
-- SAMUEL SPENCER PAC
10625 W NORTH AVE SUITE 102
MILWAUKEE, WI 53226-2315
Phone number: 414-877-5350
Copy
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