Dr. Ian A. Sproat MD
Diagnostic Radiology Physician in Green Bay, WI(View on Map)
Full Name
Dr. Ian A Sproat MD
NPI Number
1174679575
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/26/2007
Specialties
(Taxonomies)Code
2085R0202X
2085R0204X
Primary Taxonomy
Yes
No
Licenses
State
Wisconsin
License Number
32061
Contact
Information
Purpose
Mailing
Location
Address
2941 S RIDGE RD
2941 S RIDGE RD
City
Green Bay
Green Bay
State
WI
WI
Postal Code
54304-5517
54304-5517
Country
US
US
Telephone Number
(920) 336-4096
(920) 336-4096
Identifiers
Identifier
31709600
Identifier State
WI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/17/2010