Individual
MARISA SPOLTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
801 PRO DR STE A, CELINA, OH 45822-3301
(419) 586-3113
Mailing address
830 W MAIN ST, COLDWATER, OH 45828-1657
(567) 890-7185
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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