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Individual

DR. SPENCER JOEL MARKOWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
300 N MAIN ST STE D, CROWN POINT, IN 46307-3281
(219) 663-4888
(219) 663-4877
Mailing address
300 N MAIN ST STE D, CROWN POINT, IN 46307-3281
(219) 663-4888
(219) 663-4877

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01046970A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200149720
IN
01
IN2007007
MEDICARE PTAN
IN
Enumeration date
02/19/2007
Last updated
07/04/2021
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