Individual
DONALD K. SPANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6780 MAYFIELD RD, MAYFIELD HTS, OH 44124
(216) 449-4500
Mailing address
568 CHARLES PL, CLEVELAND, OH 44143-1942
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35064010
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0904221
—
OH
01
—
278746926
CHAMPUS-TRICARE
OH
01
—
942460636434
CARESOURCE
OH
01
—
P00320015
MEDICARE TRAVELERS RR-GA
OH
Enumeration date
06/01/2006
Last updated
08/27/2018
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