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Individual
STEVEN C SPANIOL
Active
Individual
STEVEN C SPANIOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3074-012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350055557
RAILROAD MEDICARE
WI
01
—
38996200
MEDICAID GROUP
WI
05
—
38996200
—
WI
01
—
79030
SECURITY HEALTH PLAN
—
01
—
CB3715
RAILROAD MEDICARE GROUP
WI
Enumeration date
09/16/2006
Last updated
06/11/2009
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