Male or Other

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

Provider Address

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