SPENCER AGNEW

SPORT AND SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP

Dr SPENCER AGNEW is a male medical professional, specializing in Physical Therapy. He graduated in 2018.

Contact

SPORT AND SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP

540 VILLAGE WALK LN
SUITE F
JOHNSON CREEK
WI
530389554

Tel: 9206999356

SPENCER AGNEW Information

Npi 1427540863
Pac Id 9830446871
Professional Enrollment Id I20180720002403
Last Name AGNEW
First Name SPENCER
Middle Name
Suffix
Gender M
Credential
Medical School Name OTHER
Graduation Year 2018
Primary Specialty PHYSICAL THERAPY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name SPORT AND SPINE CLINIC OF FORT ATKINSON LIMITED PARTNERSHIP
Group Practice Pac Id 2769392695
Number Of Group Practice Members 2
Line 1 Street Address 540 VILLAGE WALK LN
Line 2 Street Address SUITE F
Marker Of Address Line 2 Suppression
City JOHNSON CREEK
State WI
Zip Code 530389554
Phone Number 9206999356
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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