Individual
ANDREW JUIN SPELIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
477 COOPER RD STE 300, WESTERVILLE, OH 43081-8057
(380) 898-8808
(614) 898-8842
Mailing address
601 E MAIN ST STE 101, MAHOMET, IL 61853-7460
(913) 359-6019
(913) 359-5552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35145755
OH
390200000X
Student in an Organized Health Care Education/Training Program
57.249088
OH
Other
Enumeration date
04/07/2020
Last updated
12/12/2022
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