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NPI Code Detail

MEDICARE: CHRISTIAN MARCUS SPIELDENNER DO

MEDICARE: CHRISTIAN MARCUS SPIELDENNER DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramRTL26-0472NC

General Provider Information

NPI Number : 1043149974
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTIAN MARCUS SPIELDENNER DO
Provider Business Mailing Address
First Line : 170 MANNING DR RM B132
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-4221
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 MANNING DR
Second Line :
City : CHAPEL HILL
State : NC
Zip : 27514-4226
Country : US
Telephone Number : 984-974-1000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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