Provider Demographics
NPI:1013446319
Name:KRONZ, SPENCER MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:SPENCER
Middle Name:MICHAEL
Last Name:KRONZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 E NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-1037
Mailing Address - Country:US
Mailing Address - Phone:608-219-5176
Mailing Address - Fax:
Practice Address - Street 1:1726 E NORTH AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-1037
Practice Address - Country:US
Practice Address - Phone:608-219-5176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5152111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor