Individual
JAMES RAYMOND SPENNINGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1542 GOLF COURSE RD, SUITE 201, GRAND RAPIDS, MN 55744-3555
(218) 326-3433
(218) 326-3435
Mailing address
1542 GOLF COURSE RD, SUITE 201, GRAND RAPIDS, MN 55744-3555
(218) 326-3433
(218) 326-3435
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21647
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008-0002634
MEDICA GRAND RAPIDS
MN
01
—
0008-0002636
MEDICA HIBBING
MN
01
—
0817780
MEDICA
—
01
—
0E085
BLUE SHIELD OF MN
—
01
—
16523
MEDICAL ASSISTANCE
ND
01
—
1669460267
BCBS MN NPI
MN
01
—
180001615
PTAN
MN
01
—
180006396
TRAVELERS MC
—
01
—
19012SP
BLUE SHIELD OF MN
—
01
—
1989
NORIDIAN
MN
01
—
23230
NORIDIAN
ND
01
—
29972
HEALTH PARTNERS
—
05
—
432793400
—
MN
01
—
986521006415
PREFERRED ONE
—
01
—
HP50071
HEALTH PARTNERS
—
Enumeration date
10/10/2005
Last updated
08/27/2013
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