Provider Demographics
NPI:1376708552
Name:SPAGNUOLO, GREGORY FRANK (MD)
Entity Type:Individual
Prefix:DR
First Name:GREGORY
Middle Name:FRANK
Last Name:SPAGNUOLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8819 COMMONS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-4101
Mailing Address - Country:US
Mailing Address - Phone:330-425-2212
Mailing Address - Fax:
Practice Address - Street 1:8819 COMMONS BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-4101
Practice Address - Country:US
Practice Address - Phone:330-425-2212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-27
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.097287207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine