Organization · Type 2 NPI

Spine Capital Wisconsin LLC

Neurological Surgery Physician · Appleton, WI

NPI number 1104621044 Active

Practice location

2105 E Enterprise Ave Fl 2
Appleton, WI 54913-7862

Mailing address

2105 E Enterprise Ave
Appleton, WI 54913-7862

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000XNone listed
Surgery Physician 208600000XNone listed

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1104621044

Spine Capital Wisconsin LLC's National Provider Identifier is 1104621044, issued on Feb 14, 2025. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Appleton, WI. The record was last updated on Dec 23, 2025.