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Physician Compare National (NPI:1891863478)

HEALTHCARE PROVIDER: JUDSON GRAHAM SPRANDEL II CHIROPRACTIC PHYSICI

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1891863478
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 6305856931
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120413000270
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name SPRANDEL
Individual professional last name
Provider First Name JUDSON
Individual professional first name
Provider Middle Name G
Individual professional middle name
Provider Name Suffix Text II
The name suffix of the provider if the provider is an individual. The name suffix is a ''generation-related'' suffix, such as Jr., Sr., II, III, IV, or V.
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name NATIONAL COLLEGE OF CHIROPRACTIC
Individual professional's medical school
Graduation Year 1981
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 1412 CLEVELAND AVE NW
Group Practice or individual's line 1 address
City CANTON
Group Practice or individual's city
State OH
Group Practice or individual's state
Zip Code 447033103
Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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