Provider Demographics
NPI:1851333553
Name:SPIER, MARK EDWARD (DPM)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:EDWARD
Last Name:SPIER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11710 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:REISTERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21136-3363
Mailing Address - Country:US
Mailing Address - Phone:410-833-0040
Mailing Address - Fax:410-833-0574
Practice Address - Street 1:11710 REISTERSTOWN RD
Practice Address - Street 2:SUITE 208
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-3363
Practice Address - Country:US
Practice Address - Phone:410-833-0040
Practice Address - Fax:410-833-0574
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-10
Last Update Date:2008-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00676213E00000X, 213ES0000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0000XPodiatric Medicine & Surgery Service ProvidersPodiatristSports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT59867Medicare UPIN
MDT220Medicare ID - Type Unspecified