Individual
DR. MARTIN STEFAN SPAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 FOUNDERS PARK DR, SUITE 3, RAPID CITY, SD 57701-8098
(605) 791-5959
(605) 791-5960
Mailing address
211 FOUNDERS PARK DR, SUITE 3, RAPID CITY, SD 57701-8098
(605) 791-5959
(605) 791-5960
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
3471
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6702250
—
SD
Enumeration date
06/21/2006
Last updated
05/06/2011
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