Provider Demographics
NPI:1174269351
Name:SPANGENBERG, AMELIE (MBBS)
Entity Type:Individual
Prefix:DR
First Name:AMELIE
Middle Name:
Last Name:SPANGENBERG
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 E. UNIVERSITY PARKWAY MEDSTAR UNION MEMORIAL HOSPIT
Mailing Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218
Mailing Address - Country:US
Mailing Address - Phone:410-554-2284
Mailing Address - Fax:410-554-2184
Practice Address - Street 1:207 E. UNIVERSITY PARKWAY MEDSTAR UNION MEMORIAL HOSPIT
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218
Practice Address - Country:US
Practice Address - Phone:410-554-2284
Practice Address - Fax:410-554-2184
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-10
Last Update Date:2023-03-23
Deactivation Date:2023-03-20
Deactivation Code:
Reactivation Date:2023-03-23
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program