Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 40878 | WI |
NPI | 1134229859 |
---|---|
Provider Name | Michael E Spieth |
First Address | Marshfield, WI 54449-1799 |
Second Address | Marshfield, WI 54449-1799 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/09/2006 |
Last Update Date | 18/02/2015 |