Provider Demographics
NPI:1588783419
Name:SPEARMAN, DARA D (MD)
Entity type:Individual
Prefix:DR
First Name:DARA
Middle Name:D
Last Name:SPEARMAN
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:722 E TILL RD # 102
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46825-2066
Mailing Address - Country:US
Mailing Address - Phone:260-487-4065
Mailing Address - Fax:260-918-8369
Practice Address - Street 1:722 E TILL RD # 102
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46825-2066
Practice Address - Country:US
Practice Address - Phone:260-487-4065
Practice Address - Fax:260-918-8369
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01076018A207N00000X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIDS084294OtherSTATE LICENSE
IN01076018AOtherMEDICAL LICENSE
WI54947OtherDEPARTMENT OF REGULATION AND LICENSING