Individual
DR. RUSSELL SPINGARN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 HIGHWAY 96 E, WHITE BEAR LAKE, MN 55110-3653
(651) 653-2100
(651) 653-2125
Mailing address
PO BOX 1309, MS 21110Q, MINNEAPOLIS, MN 55440-1309
(651) 653-2100
(651) 653-2125
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
58462
MN
207Q00000X
Family Medicine Physician
65824-20
WI
Other
Enumeration date
04/16/2013
Last updated
03/17/2018
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