1255621066

Everything you always wanted to know about BRUCE D SPINZIG INTERNAL MEDICINE LLC SPINZIG WAYNETTE but were afraid to ask.

BRUCE D SPINZIG INTERNAL MEDICINE LLC SPINZIG WAYNETTE

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Organization Name Authorized Official Last Name Authorized Official First Name
BRUCE D SPINZIG INTERNAL MEDICINE LLC SPINZIG WAYNETTE
Gender:
none
Enumeration date:
2011-04-13
Last update date:
2013-11-11
Current as of:
2007-08-28
Is sole proprietor?:
Not Answered
Is organization subpart?:
No
In PECOS?:
No

Identifiers

identifier description issuer state active

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine none none

Phone Numbers

Type Number
Mailing Address Telephone Number 9316476770
Practice Location Address Telephone Number 9316476770
Authorized Official Telephone Number 8122075945
Mailing Address Fax Number 9316476813
Practice Location Address Fax Number 9316476813

Addresses

Type Address City State Postal Country
Mailing Address 1754 MADISON STREET SUITE 2 CLARKSVILLE TN 37043 TN
Practice Location Address 1754 MADISON STREET SUITE 2 CLARKSVILLE TN 37043 TN

Other NPI Records that share a phone number

NPI Name Address State City
1669416889 SPINZIG, BRUCE
Individual
1754 MADISON ST TN CLARKSVILLE