MICHAEL JOHN SPAK MD NPI 1831145721

NPI Information

NPI: 1831145721
Provider Name: MICHAEL JOHN SPAK, MD
Classification: Radiology - 2085B0100X
Entity Type: Individual

Specialization: Body Imaging

Address:
900 WEST CLAIREMONT AVENUE
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 839-4151
Get Directions

Michael John Spak, MD is a body imaging radiology in Eau Claire, WI. The provider is a Radiology doctor of Osteopathy that specializes in Body Imaging. Michael John Spak, MD NPI is 1831145721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

900 WEST CLAIREMONT AVENUE
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 839-4151

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	20002	WISCONSIN	Yes
2	2085B0100X	Radiology	Body Imaging	101042	MINNESOTA	X
3	2085N0700X	Radiology	Neuroradiology	20002	WISCONSIN	X
4	2085N0700X	Radiology	Neuroradiology	101042	MINNESOTA	X
5	2085N0904X	Radiology	Nuclear Radiology	20002	WISCONSIN	X
6	2085N0904X	Radiology	Nuclear Radiology	101042	MINNESOTA	X
7	2085P0229X	Radiology	Pediatric Radiology	20002	WISCONSIN	X
8	2085P0229X	Radiology	Pediatric Radiology	101042	MINNESOTA	X
9	2085R0202X	Radiology	Diagnostic Radiology	20002	WISCONSIN	X
10	2085R0202X	Radiology	Diagnostic Radiology	101042	MINNESOTA	X
11	2085R0204X	Radiology	Vascular & Interventional Radiology	20002	WISCONSIN	X
12	2085R0204X	Radiology	Vascular & Interventional Radiology	101042	MINNESOTA	X
13	2085R0205X	Radiology	Radiological Physics	20002	WISCONSIN	X
14	2085U0001X	Radiology	Diagnostic Ultrasound	20002	WISCONSIN	X
15	2085U0001X	Radiology	Diagnostic Ultrasound	101042	MINNESOTA	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B56776	MEDICARE UPIN
2	0009	MEDICARE ID-TYPE UNSPECIFIED	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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