Individual
DENNIS CHARLES SPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W GRANT ST, LAKE CITY, MN 55041-1143
(651) 345-3321
(651) 345-1151
Mailing address
1200 GRANT BLVD W, WABASHA, MN 55981-1042
(651) 565-5600
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36426
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113159
MEDICA
—
01
—
080125255
RAILROAD MEDICARE
—
01
—
118169
UCARE
—
01
—
49A86SP
BCBS
—
05
—
925515000
—
MN
01
—
MH9101008904
PREFERRED ONE
—
Enumeration date
12/15/2005
Last updated
10/01/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us