Individual
DR. IAN SPENCER MUTCHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST, SUITE 1102, LOUISVILLE, KY 40202-3900
(502) 583-1697
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
095567
OH
207T00000X
Neurological Surgery Physician
Primary
43020
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000642043
ANTHEM- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY
01
—
108520
SIHO
KY
01
—
200967320
ANTHEM INDIANA MEDICAID- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY
05
—
200967320
—
IN
01
—
3746249000
PASSPORT ADVANTAGE- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY
01
—
3810329
CIGNA- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY
01
—
50026300
PASSPORT- NORTON NEUROSURGICAL INSTITUTE OF KENTUCKY
KY
05
—
7100090630
—
KY
Enumeration date
04/25/2007
Last updated
12/19/2024
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