Provider Demographics
NPI:1376517623
Name:SPENDAL, FRANK L (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:L
Last Name:SPENDAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 266
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:IN
Mailing Address - Zip Code:47842-0266
Mailing Address - Country:US
Mailing Address - Phone:765-832-9301
Mailing Address - Fax:765-832-9302
Practice Address - Street 1:35 S ELM ST
Practice Address - Street 2:
Practice Address - City:ROSEDALE
Practice Address - State:IN
Practice Address - Zip Code:47874-9543
Practice Address - Country:US
Practice Address - Phone:765-542-0278
Practice Address - Fax:765-548-0326
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01038276A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN080175239OtherRAILROAD MEDICARE
IN100384620Medicaid
IN147180LMedicare ID - Type Unspecified
IND95069Medicare UPIN
IN248870FMedicare PIN