Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spine Capital Wisconsin LLC

Organization Neurological Surgery Physician · NPI 1104621044

Spine Capital Wisconsin LLC is a Neurological Surgery Physician in Appleton, Wisconsin. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2105 E Enterprise Ave Fl 2
Appleton, WI 54913-7862
Phone: (920) 333-8878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1104621044
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Koffie — Ceo · (812) 756-8888
NPI enumeratedFebruary 14, 2025
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 2025
Mailing address2105 E Enterprise Ave, Appleton, WI 54913-7862

Other providers in Appleton