Dean Spangle in Kenosha - Nutrition, Metabolic

Dean Spangle - NPI 1033126131

Dean Spangle is a Nutrition, Metabolic in Kenosha, Wisconsin. Dean Spangle practices all healthcare services and medical treatments related to Nutrition, Metabolic. The NPI Number for Dean Spangle is 1033126131. The last update date is 2007-07-08.

Dean Spangle's current location address is 1617 73rd St, Kenosha, Wisconsin. You can contact this provider via phone number 2626531771. The mailing address for Dean Spangle is 1617 73rd St, Kenosha, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Dean Spangle
Address 1617 73rd St, Kenosha, Wisconsin
Phone Number 2626531771
Fax Number
Sole Proprietor Y
Credentials MS, RD, CD

NPI Number Detail

NPI Number 1033126131
Provider Enumeration Date 2006-08-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1617 73rd St
City Kenosha
State Wisconsin (WI)
Post Code 531435363
Phone Number 2626531771
Fax Number

Provider's Primary Taxonomy Detail

Speciality Nutrition, Metabolic
Taxonomy 133Vn1006X
Licence No 1334-029
Definition:
A dietitian who specializes in metabolic and nutritional disorders.

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FAQs about Dean Spangle

What is the unique 10-digit identification code assigned to Dean Spangle by the Centers for Medicare & Medicaid Services?

The Dean Spangle has been issued the NPI (National Provider Identifier) 1033126131, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Dean Spangle is physically located?

The Dean Spangle is physically situated at the following address: 1617 73Rd St, Kenosha, WI, 531435363.

What is the Dean Spangle's area of specialization and corresponding taxonomy classification?

The Dean Spangle's specialty field is Nutrition, Metabolic, and it falls under the taxonomy code 133Vn1006X, which categorizes healthcare providers based on their specialties.

As of what date were the Dean Spangle's details last updated?

The information pertaining to the Dean Spangle, including its address, specialty, and other details, was most recently updated on 2007-07-08.

As of what date were the details related to Dean Spangle most recently updated or revised?

The information pertaining to Dean Spangle, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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