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NPI Code Detail

MEDICARE: DR. GREGORY FRANK SPAGNUOLO MD

MEDICARE: DR. GREGORY FRANK SPAGNUOLO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician35.097287OH

General Provider Information

NPI Number : 1376708552
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY FRANK SPAGNUOLO MD
Provider Business Mailing Address
First Line : 8819 COMMONS BLVD
Second Line : SUITE 100
City : TWINSBURG
State : OH
Zip : 44087-4101
Country : US
Telephone Number : 330-425-2212
Fax Number :
Provider Business Practice Location Address
First Line : 8819 COMMONS BLVD
Second Line : SUITE 100
City : TWINSBURG
State : OH
Zip : 44087-4101
Country : US
Telephone Number : 330-425-2212
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2008
Last Update Date : 12/23/2020

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