Luke Michael Spellman, D.O.
Pediatrics, Sports Medicine in Cedar Rapids, IA. Individual provider (NPI-1).
NPI number1215917331
StatusActive
Last updated in NPPESApr 19, 2019
Details
- NPI
- 1215917331
- Entity type
- Individual (NPI-1)
- Name
- Luke Michael Spellman
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 17, 2006
- Last updated
- Apr 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080S0010X | Pediatrics, Sports Medicine | 3875 | IA | Yes |
Practice location
855 A Ave Ne Ste 300Cedar Rapids, IA 52402-5064
Phone 319-368-9300 · Fax 319-368-5690
Mailing address
855 A Ave Ne Ste 300Cedar Rapids, IA 52402-5064
Phone 319-368-9300 · Fax 319-368-5690
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