Provider Demographics
NPI:1154731412
Name:DR. MARGARET SPARTZ, PA
Entity type:Organization
Organization Name:DR. MARGARET SPARTZ, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:ELIZABETH FISCHER
Authorized Official - Last Name:SPARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:651-797-6880
Mailing Address - Street 1:2411 MAPLEWOOD DR N
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-1913
Mailing Address - Country:US
Mailing Address - Phone:651-797-6880
Mailing Address - Fax:651-797-6881
Practice Address - Street 1:2411 MAPLEWOOD DR N
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1913
Practice Address - Country:US
Practice Address - Phone:651-797-6880
Practice Address - Fax:651-797-6881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-07
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN482182083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN48218OtherMN STATE LICENSE