| Doctor Name: | MICHAEL JOHN SPAK |
| NPI Number: | 1831145721 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 20002 |
| Business Practice Address: | 900 West Clairemont Avenue Eau Claire, WI - 54701 |
| Business Phone Number: | 7158394151 |
| Business Fax Number: | |
| Mailing Address: | 2715 West Frank Street, EAU CLAIRE |
| State: | WI |
| Postal Code: | 54703 |
| Phone Number: | 7158345511 |
| Fax Number: | 7158345870 |
| NPI Enumeration Date: | 05/25/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085B0100X |
| License Number: | 20002 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | WI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Body Imaging |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |