Individual
DR. MITCHELL WILLIAM SPAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 E 5TH ST, CHARLOTTE, NC 28204-2429
(980) 367-4363
(704) 384-1644
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 367-4363
(704) 316-2558
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
2020-04761
NC
207V00000X
Obstetrics & Gynecology Physician
35.060262S
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000302267
ANTHEM
OH
05
—
0821089
—
OH
Enumeration date
10/19/2005
Last updated
04/24/2024
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