SearchWisconsin311ZA0620X

Stacey Spencer

NPI 1427986165 · on the registry since 2026 · sole proprietor

Practice

Address
4864 N 21st St
Milwaukee, WI 53209
Phone
(213) 800-6801

Registry record

Primary taxonomy
311ZA0620X
311ZA0620X
Also registered as
320600000X
385H00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-05-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin