Organization
BRUCE D SPINZIG INTERNAL MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAYNETTE SPINZIG (OFFICE CONTACT)
(812) 207-5945
Entity
Organization
Contact information
Practice address
1754 MADISON STREET, SUITE 2, CLARKSVILLE, TN 37043-2924
(931) 647-6770
(931) 647-6813
Mailing address
1754 MADISON STREET, SUITE 2, CLARKSVILLE, TN 37043-2924
(931) 647-6770
(931) 647-6813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q002310
—
TN
Enumeration date
04/13/2011
Last updated
03/06/2014
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