Individual
WAYNE T SPEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(952) 993-6032
(952) 993-5512
Mailing address
6950 FRANCE AVE S, # 200, EDINA, MN 55435-2008
(952) 920-4915
(952) 915-6091
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
33410
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104842
UCARE
MN
01
—
110587
PATIENT CHOICE
MN
01
—
2400004
MEDICA PRIMARY
MN
01
—
2419297
MEDICA
MN
01
—
25141
AMERICA'S PPO
MN
01
—
40635SP
BLUE CROSS/BLUE SHIELD
MN
05
—
889200800
—
MN
01
—
963070250009
PREFERRED ONE
MN
01
—
HP14447
HEALTH PARTNERS
MN
Enumeration date
09/02/2005
Last updated
02/24/2016
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