Individual
SPENCER ILSTRUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
TRISTAR CENTENNIAL PARTHENON PAVILION 2401 PARMAN PLACE, NASHVILLE, TN 37203
(615) 342-3965
Mailing address
TRISTAR CENTENNIAL PARTHENON PAVILION, 2401 PARMAN PLACE, NASHVILLE, TN 37203
(615) 342-3965
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2022
Last updated
06/11/2025
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