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Individual

MICHAEL DAVID SPANFELNER

Active
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Individual

MICHAEL DAVID SPANFELNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10240T
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GSD001930
CA
01
P00479427
MEDICARE RAILROAD CARRIER
CA
01
ZZZ55000Y
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
08/18/2006
Last updated
01/02/2013
About Stedi
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