Individual
DR. CHARLES S SPANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 W CHISHOLM ST, ALPENA, MI 49707-1401
(989) 356-7390
Mailing address
5560 GRATIOT RD, SAGINAW, MI 48638-6091
(989) 791-9024
(989) 791-3702
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
5666
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740203272
—
MI
01
—
38259
MEDICAL LICENSE
CO
05
—
F7835
—
NM
Enumeration date
07/25/2006
Last updated
03/07/2023
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