NPI 1104621044
Spine Capital Wisconsin LLC
Practice location
- Address
- 2105 E Enterprise Ave Fl 2, Appleton, WI 54913-7862
- Phone
- (920) 333-8878
- Mailing address
- 2105 E Enterprise Ave, Appleton, WI 54913-7862
Authorised official
- Name
- Robert Koffie
- Title
- Ceo
- Phone
- (812) 756-8888
Registered specialties (2)
Neurological Surgery Physician
Primary
Surgery Physician
Registry record
- NPI
- 1104621044
- Entity type
- Organization
- NPI issued
- 14 Feb 2025
- Record last updated
- 23 Dec 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.