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NPI Code Detail

MEDICARE: DR. JOHN PATRICK SPIRNAK MD

MEDICARE:  DR. JOHN PATRICK SPIRNAK  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
1208800000XUrology Physician35042212SOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295724136
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN PATRICK SPIRNAK MD
Provider Business Mailing Address
First Line : 104 WOODMONT BLVD STE 500
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-2245
Country : US
Telephone Number : 559-475-4151
Fax Number :
Provider Business Practice Location Address
First Line : 6900 PEARL RD STE 200
Second Line :
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3640
Country : US
Telephone Number : 440-845-0900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2005
Last Update Date : 09/27/2024

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Directions to “ DR. JOHN PATRICK SPIRNAK MD” Practice Location

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