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Individual

ANDREW J SPOLJARIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1050 REID PKWY STE 210, RICHMOND, IN 47374-1160
(765) 939-7711
(765) 939-1841
Mailing address
1100 REID PARKWAY, MEDICAL STAFF SERVICES, RICHMOND, IN 47374-1157
(765) 983-3127

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01048752A
IN
2084P0800X
Psychiatry Physician
01048752A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200353580
IN
Enumeration date
07/07/2005
Last updated
09/03/2024
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