| Doctor Name: | SPENCER J. MADELL |
| NPI Number: | 1033198981 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 31227 |
| Business Practice Address: | 142 W 5th St Cookeville, TN - 385011760 |
| Business Phone Number: | 9315282541 |
| Business Fax Number: | 9315268814 |
| Mailing Address: | Po Box 3262, INDIANAPOLIS |
| State: | IN |
| Postal Code: | 462063262 |
| Phone Number: | 8442575898 |
| Fax Number: | 3176636054 |
| NPI Enumeration Date: | 01/10/2006 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 31227 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |