Individual
MR. SEAN MICHAEL SPANBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 524-2134
Mailing address
778 PROGRESS DR, FOUNTAIN, CO 80817-4176
(330) 221-8741
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/20/2008
Last updated
11/20/2008
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