Provider Demographics
NPI:1144351966
Name:MARK E SPIER, DPM, PA
Entity type:Organization
Organization Name:MARK E SPIER, DPM, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:E
Authorized Official - Last Name:SPIER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:410-833-0040
Mailing Address - Street 1:11710 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3363
Mailing Address - Country:US
Mailing Address - Phone:410-833-0040
Mailing Address - Fax:410-833-0574
Practice Address - Street 1:11710 REISTERSTOWN RD
Practice Address - Street 2:SUITE 208
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3363
Practice Address - Country:US
Practice Address - Phone:410-833-0040
Practice Address - Fax:410-833-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-07
Last Update Date:2008-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDZZ96Medicare ID - Type Unspecified
MD4490520001Medicare NSC