Spine Capital Wisconsin LLC

NPI #1104621044 in Appleton, Wisconsin

Provider Information

NPI Number: 1104621044
Entity Type: Organization
Organization Name: Spine Capital Wisconsin LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Feb 14, 2025
Last Updated: Dec 23, 2025

Practice Location

Address: 2105 E ENTERPRISE AVE FL 2
City: Appleton
State: Wisconsin
ZIP Code: 54913-7862
Phone: (920) 333-8878

Authorized Official

Name: DR. ROBERT KOFFIE, MD
Title: CEO
Phone: (812) 756-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X
Neurological Surgery	207T00000X	Primary

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