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Dr. Mark Reid Spanbauer, MD
Specialist in Alexandria, Minnesota
NPI 1619967890

Mark Reid Spanbauer is a Specialist based in Plymouth, MN. Mark Reid Spanbauer practices in Alexandria, MN and has the professional credentials of MD. The NPI Number for Mark Reid Spanbauer is 1619967890 and holds a License No. 23646 (Minnesota).

The current practice location address for Mark Reid Spanbauer is 111 17Th Ave E, Alexandria, MN and can be reached out via phone at 320-762-6072 and via fax at 320-762-6145.

Location: 111 17Th Ave E, Alexandria, MN, 55441-2606
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619967890
Provider Name
Mark Reid Spanbauer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
111 17Th Ave E, Alexandria, MN, 55441-2606
Phone Number
320-762-6072
Fax Number
320-762-6145
Provider Enumeration Date
10/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
115090 01 MN UCARE
institution
Provider Business Practice Location Address Details
Address
111 17Th Ave E
City
Alexandria
State
Minnesota
Zip
56308-3703
Phone Number
320-762-6072
Fax Number
320-762-6145
person
Provider Business Mailing Address Details
Address
111 17Th Ave E
City
Alexandria
State
Minnesota
Zip
56308-3703
Phone Number
320-762-6072
Fax Number
320-762-6145
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
23646 (Minnesota)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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