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NPI Code Detail

MEDICARE: DALIA M SPISAK MSN,RN,CPNP

MEDICARE:   DALIA M SPISAK  MSN,RN,CPNP
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 Physician01659OH

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 : 1306861141
Entity Type Code : Individual
Provider Name (Legal Business Name) : DALIA M SPISAK MSN,RN,CPNP
Provider Business Mailing Address
First Line : 215 W BOWERY ST
Second Line : SUITE 3500
City : AKRON
State : OH
Zip : 44308-1069
Country : US
Telephone Number : 330-376-3332
Fax Number : 330-376-2980
Provider Business Practice Location Address
First Line : 215 W BOWERY ST
Second Line : SUITE 3500
City : AKRON
State : OH
Zip : 44308-1069
Country : US
Telephone Number : 330-376-3332
Fax Number : 330-376-2980
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2006
Last Update Date : 10/26/2011

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