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Individual

MICHAEL KENNETH SPODAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
26 WEST PENNSYLVANIA AVENUE, TOWSON, MD 21204-5001
(410) 337-0343
(410) 321-0337
Mailing address
26 WEST PENNSYLVANIA AVENUE, TOWSON, MD 21204
(410) 337-0343
(410) 321-0337

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
20438
WV
2084P0800X
Psychiatry Physician
Primary
D0014095
MD
2084P0800X
Psychiatry Physician
MD32059
DC

Other

Enumeration date
10/25/2006
Last updated
07/08/2007
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