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Contact Information

ROGER A HANDTKE, DO
ESSENTIA HEALTH SPOONER CLINIC
1180 CHANDLER DRIVE
SPOONER, WI54801
 Phone: 715-635-2151
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ROGER A HANDTKE · (Male)

NPI # 1396776589
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/05/2006
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 02001222A
  • WI License # 63316
  • IN Medicaid 100209300
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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