Provider Demographics
NPI:1457436826
Name:SPANGLER, ROBERT THEODORE (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:THEODORE
Last Name:SPANGLER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1330 MERCY DR NW
Mailing Address - Street 2:SUITE 520
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708-2626
Mailing Address - Country:US
Mailing Address - Phone:330-489-1438
Mailing Address - Fax:330-489-1382
Practice Address - Street 1:1330 MERCY DR NW
Practice Address - Street 2:SUITE 520
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708-2626
Practice Address - Country:US
Practice Address - Phone:330-489-1438
Practice Address - Fax:330-489-1382
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.041639208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery