David W Spight D.O.

NPI 1063414845 - Physical Medicine & Rehabilitation - 208100000X

NPI Details
NPI 1063414845
Gender Male
Enumeration Date 08/11/2005
Last Updated 12/29/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
15700 37TH AVE N STE 150
PLYMOUTH MN, 55446-3675, US
Phone (651) 968-5675
Fax (651) 968-5904
Business Location
710 COMMERCE DR STE 200
WOODBURY MN, 55125-4925, US
Phone (651) 968-5675
Fax (952) 814-6720
Toxanomy
Taxonomy Code 208100000X
License State Michigan
License Number 5101014798
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According to our database, David W Spight D.O. NPI is 1063414845, taxonomy code is 208100000X and license number is 5101014798, license state is located at Michigan. David W Spight D.O. physically located at 15700 37th Ave N Ste 150, Plymouth MN, 55446-3675. NPI Number David W Spight D.O. has the Individual type.

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1063414845 NPI number is provided on an as is basis without warranty of any kind. 1063414845 is maintained by the National Plan & Provider Enumeration System. The contents of David W Spight D.O. are for informational purposes only.