Doctor Name: | DR. JENNIFER CHRISTIAN SPANBAUER |
NPI Number: | 1538352224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.O. |
License Number: | |
Business Practice Address: | 166 19th Street South Suite 100 Sartell, MN - 563772154 |
Business Phone Number: | 3202510609 |
Business Fax Number: | 3202513806 |
Mailing Address: | Po Box 1450 Nw 6035, MINNEAPOLIS |
State: | MN |
Postal Code: | 554856035 |
Phone Number: | 8006344064 |
Fax Number: | 9525136880 |
NPI Enumeration Date: | 08/25/2007 |
NPI Last Update Date: | 09/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |