Individual
DR. DONALD A SPISAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 WINDSOR GREEN CT STE 101, GOODLETTSVILLE, TN 37072-2237
(615) 859-8488
(615) 859-8696
Mailing address
401 WINDSOR GREEN CT STE 101, GOODLETTSVILLE, TN 37072-2237
(615) 859-8488
(615) 859-8696
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
20A10274
CA
207Q00000X
Family Medicine Physician
5101014417
MI
207Q00000X
Family Medicine Physician
Primary
DO2092
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1519636
—
TN
Enumeration date
04/03/2006
Last updated
01/25/2022
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