Individual
DR. NICHOLAS RAYMOND SPAGNOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
998 S DORSET RD, STE 207, TROY, OH 45373-4753
(937) 335-5727
(937) 440-7728
Mailing address
998 S DORSET RD, STE 207, TROY, OH 45373-4753
(937) 335-5727
(937) 440-7728
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35-04-1265
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0430313
—
OH
Enumeration date
08/03/2005
Last updated
03/07/2023
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