Healthcare Provider Details

I. General information

NPI: 1447289251
Provider Name (Legal Business Name): DR. ANDREW SPITZNAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2006
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 ARLEN CT
EAU CLAIRE WI
54703-5700
US

IV. Provider business mailing address

1302 ARLEN CT
EAU CLAIRE WI
54703-5700
US

V. Phone/Fax

Practice location:
  • Phone: 715-235-4696
  • Fax: 715-532-9774
Mailing address:
  • Phone: 715-235-4696
  • Fax: 715-532-9774

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number646-320
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0101257831
License Number StateVA
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number39250
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: