Ian A Sproat MD

NPI 1174679575 - Radiology - 2085R0204X

NPI Details
NPI 1174679575
Gender Male
Enumeration Date 01/26/2007
Last Updated 08/17/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
2941 S RIDGE RD
GREEN BAY WI, 54304-5517, US
Phone (920) 336-4096
Fax (920) 336-8093
Business Location
2941 S RIDGE RD
GREEN BAY WI, 54304-5517, US
Phone (920) 336-4096
Fax (920) 336-8093
Toxanomy
Taxonomy Code 2085R0204X
License State Wisconsin
License Number 32061
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According to our database, Dr. Ian A Sproat MD NPI is 1174679575, taxonomy code is 2085R0204X and license number is 32061, license state is located at Wisconsin. Ian A Sproat MD physically located at 2941 S Ridge Rd, Green Bay WI, 54304-5517. NPI Number Ian A Sproat MD has the Individual type.

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1174679575 NPI number is provided on an as is basis without warranty of any kind. 1174679575 is maintained by the National Plan & Provider Enumeration System. The contents of Ian A Sproat MD are for informational purposes only.