Provider Demographics
NPI:1124228556
Name:SPIEGEL, ALAN B (MD)
Entity Type:Individual
Prefix:DR
First Name:ALAN
Middle Name:B
Last Name:SPIEGEL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 714328
Mailing Address - Street 2:LAKE HEALTH PHYSICIAN GROUP PEDIATRICS
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43271-4328
Mailing Address - Country:US
Mailing Address - Phone:440-205-5800
Mailing Address - Fax:440-205-5805
Practice Address - Street 1:6270 N. RIDGE ROAD
Practice Address - Street 2:LAKE HEALTH PHYSICIAN GROUP MADISON PEDIATRICS
Practice Address - City:MADISON
Practice Address - State:OH
Practice Address - Zip Code:44057
Practice Address - Country:US
Practice Address - Phone:440-428-6225
Practice Address - Fax:440-428-8226
Is Sole Proprietor?:No
Enumeration Date:2007-07-24
Last Update Date:2010-07-02
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Provider Licenses
StateLicense IDTaxonomies
OH35-094447208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics