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Individual

JONATHON MICHAEL SPANYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2123 AUBURN AVE STE 630, CINCINNATI, OH 45219-2906
(859) 301-2663
(859) 817-7848
Mailing address
560 S LOOP RD, EDGEWOOD, KY 41017-3405
(859) 301-2663
(859) 817-7848

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
45731
KY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
257864
MA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
45731
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0447996
OH
05
300022357
IN
05
7100131980
KY
Enumeration date
04/10/2009
Last updated
05/19/2023
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