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NPI Code Detail

MEDICARE: DR. SPENCER J GULL PHARMD

MEDICARE: DR. SPENCER J GULL PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist17581-40WI

General Provider Information

NPI Number : 1033513700
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SPENCER J GULL PHARMD
Provider Business Mailing Address
First Line : 6810 WANDAWEGA CIR
Second Line :
City : MEQUON
State : WI
Zip : 53092-8514
Country : US
Telephone Number : 262-617-9721
Fax Number :
Provider Business Practice Location Address
First Line : 6707 W HAMPTON AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53218-4833
Country : US
Telephone Number : 414-536-1179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2014
Last Update Date : 10/09/2014

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Directions to “ DR. SPENCER J GULL PHARMD” Practice Location

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