Individual
ANTHONY SPANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2800 CAMPUS DR, PLYMOUTH, MN 55441-2645
(651) 380-2872
Mailing address
2800 CAMPUS DR STE 10, PLYMOUTH, MN 55441-8812
(763) 559-2171
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
64805
MN
2085R0204X
Vascular & Interventional Radiology Physician
ME153716
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
MN
Other
Enumeration date
03/30/2017
Last updated
10/28/2024
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