Individual
DR. JOSHUA PAUL SPANOGLE
Active
Individual
DR. JOSHUA PAUL SPANOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
51287
MN
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A116055
CA
207NS0135X
Procedural Dermatology Physician
A116055
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00773912
MEDICARE, RAILROAD
MN
Enumeration date
12/17/2007
Last updated
03/10/2014
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