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Contact Information

MARK S SPANKOWSKI, OD
608 E. SUMMIT AVE.
OCONOMOWOC, WI53066
 Phone: 262-567-6565
 Fax: 262-567-8214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARK S SPANKOWSKI · (Male)

NPI # 1831223338
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 03/15/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1834-035
  • WI Medicaid 38517900
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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