Individual
MICHAEL WILLIAM SPAGNUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
300 N HIGHLAND AVE STE 415, SHERMAN, TX 75092-7390
(903) 892-3696
(903) 893-9514
Mailing address
1908 N LAURENT ST STE 410, VICTORIA, TX 77901-5469
(361) 572-0333
(361) 371-7090
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
5101015054
MI
207X00000X
Orthopaedic Surgery Physician
Primary
P5305
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DK059Z
MEDICARE PTAN
—
Enumeration date
05/03/2006
Last updated
11/05/2019
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