Individual
WILLIAM JENKINS SPANENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
931 12 OAKS, CARMEL, IN 46032-9432
(317) 417-7404
Mailing address
931 12 OAKS, CARMEL, IN 46032-9432
(317) 417-7404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01048277A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200175090
—
IN
Enumeration date
11/30/2005
Last updated
12/22/2014
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