Provider Demographics
NPI:1528344678
Name:SPREITZER, KRISTEN (BS)
Entity type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:
Last Name:SPREITZER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 S WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:DELAVAN
Mailing Address - State:WI
Mailing Address - Zip Code:53115-2013
Mailing Address - Country:US
Mailing Address - Phone:262-728-3999
Mailing Address - Fax:
Practice Address - Street 1:445 S WRIGHT ST
Practice Address - Street 2:
Practice Address - City:DELAVAN
Practice Address - State:WI
Practice Address - Zip Code:53115-2013
Practice Address - Country:US
Practice Address - Phone:262-728-3999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-02
Last Update Date:2011-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13214-040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist