Basic Information
Provider Information
NPI: 1043629355
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SPANHEIMER
FirstName: ROBERT
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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OtherLastName:  
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Mailing Information
Address1: UIHC 200 HAWKINS DRIVE
Address2: DEPARTMENT OF INTERNAL MEDICINE
City: IOWA CITYI
State: IA
PostalCode: 52242
CountryCode: US
TelephoneNumber: 3193537826
FaxNumber: 3193537850
Practice Location
Address1: 200 HAWKINS DR
Address2: DEPARTMENT OF INTERNAL MEDICINE
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193537826
FaxNumber: 3193537850
Other Information
ProviderEnumerationDate: 08/12/2014
LastUpdateDate: 08/15/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RE0101X21092IAY Allopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism

No ID Information.


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