Individual
MR. JONATHAN SPELLMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
106 WILLOW RD, GOODLAND, KS 67735-1518
(785) 890-6075
Mailing address
106 WILLOW RD, GOODLAND, KS 67735-1518
(785) 890-6075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01700
KS
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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