Individual
JOHNATHAN GENE SPITNALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1400 E 2ND ST, DEFIANCE, OH 43512-9905
(419) 783-3387
Mailing address
1400 E 2ND ST, DEFIANCE, OH 43512-9905
(419) 783-3387
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.015726
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/09/2019
Last updated
09/01/2022
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