Mark Reid Spanbauer in Plymouth - Specialist
Mark Reid Spanbauer - NPI 1619967890
Mark Reid Spanbauer is a Specialist in Plymouth, Minnesota. Mark Reid Spanbauer practices all healthcare services and medical treatments related to Specialist. The NPI Number for Mark Reid Spanbauer is 1619967890. The last update date is 2008-04-28.
Mark Reid Spanbauer's current location address is 2800 Campus Dr, Plymouth, Minnesota. You can contact this provider via phone number 7632010492. The mailing address for Mark Reid Spanbauer is 2800 Campus Dr, Plymouth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Reid Spanbauer |
|---|---|
| Address | 2800 Campus Dr, Plymouth, Minnesota |
| Phone Number | 7632010492 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1619967890 |
|---|---|
| Provider Enumeration Date | 2005-10-27 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 2800 Campus Dr |
|---|---|
| City | Plymouth |
| State | Minnesota (MN) |
| Post Code | 554412606 |
| Phone Number | 7632010492 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 23646 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 115090 | MN | UCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Mark Reid Spanbauer by the Centers for Medicare & Medicaid Services?
The Mark Reid Spanbauer has been assigned the NPI (National Provider Identifier) 1619967890 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mark Reid Spanbauer is located?
The Mark Reid Spanbauer is situated at the following address: 2800 Campus Dr, Plymouth, MN, 554412606.
What is the Mark Reid Spanbauer's specialty and taxonomy code?
The Mark Reid Spanbauer's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1619967890 to Mark Reid Spanbauer?
The Centers for Medicare & Medicaid Services assigned the 1619967890 to Mark Reid Spanbauer on 2005-10-27.
As of what date was the information pertaining to Mark Reid Spanbauer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Mark Reid Spanbauer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-28.