Individual
DOUGLAS M SPAETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN 37919-4052
(800) 342-2898
Mailing address
362 S HARDING RD, COLUMBUS, OH 43209-1949
(614) 657-3422
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35062563S
OH
208M00000X
Hospitalist Physician
Primary
57754.
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000315934
HOCKING BCBS
—
05
—
0917897
—
OH
01
—
P00075897
HOCKING MEDICARE RR
—
Enumeration date
06/13/2006
Last updated
11/18/2020
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