Spencer Rotter

NPI #1245700145 in Oak Creek, Wisconsin

Provider Information

NPI Number: 1245700145
Entity Type: Individual
Name: Spencer Rotter
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Dec 4, 2018
Last Updated: Dec 4, 2018

Practice Location

Address: 10025 S 11TH AVE
City: Oak Creek
State: Wisconsin
ZIP Code: 53154-6003
Phone: (414) 465-9245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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