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NPI Code Detail

MEDICARE: MARY SPENGLER N.P.

MEDICARE:   MARY  SPENGLER  N.P.
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
1363LA2200XAdult Health Nurse PractitionerR0905150MN

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 : 1861453763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY SPENGLER N.P.
Provider Business Mailing Address
First Line : 3366 OAKDALE AVENUE NORTH
Second Line : # 315 NORTH CLINIC PA
City : ROBBINSDALE
State : MN
Zip : 55422
Country : US
Telephone Number : 763-587-7900
Fax Number : 763-587-7989
Provider Business Practice Location Address
First Line : 3366 OAKDALE AVENUE NORTH
Second Line : SUITE 315
City : ROBBINSDALE
State : MN
Zip : 55422
Country : US
Telephone Number : 763-587-7900
Fax Number : 763-587-7989
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2006
Last Update Date : 01/09/2009

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Directions to “ MARY SPENGLER N.P.” Practice Location

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