Provider Demographics
NPI:1033198817
Name:SPIEGEL, MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:
Last Name:SPIEGEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 GERMANTOWN RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5038
Mailing Address - Country:US
Mailing Address - Phone:203-794-5600
Mailing Address - Fax:203-794-5611
Practice Address - Street 1:33 GERMANTOWN RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5038
Practice Address - Country:US
Practice Address - Phone:203-794-5600
Practice Address - Fax:203-794-5611
Is Sole Proprietor?:No
Enumeration Date:2006-01-11
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT027447207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTE56774Medicare UPIN