MEDICARE: CHRISTOPHER MICHAEL SPEARMAN M.D.

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
1	207W00000X	Ophthalmology Physician	MD466650	PA
2	207W00000X	Ophthalmology Physician	67906	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1609263532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER MICHAEL SPEARMAN M.D.

Provider Business Mailing Address
First Line	:	105 BRANDT DR
Second Line	:	STE 201
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6412
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 BRANDT DR STE 201
Second Line	:
City	:	CRANBERRY TOWNSHIP
State	:	PA
Zip	:	16066-6412
Country	:	US
Telephone Number	:	724-772-5420
Fax Number	:	724-772-5423

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2015
Last Update Date	:	07/11/2019

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