Provider Demographics
NPI:1447452677
Name:SPELLMAN, ANDREW GEORGE (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:GEORGE
Last Name:SPELLMAN
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:5901 WESTOWN PKWY
Mailing Address - Street 2:SUITE 210
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-8218
Mailing Address - Country:US
Mailing Address - Phone:515-221-9222
Mailing Address - Fax:515-221-0575
Practice Address - Street 1:5901 WESTOWN PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8218
Practice Address - Country:US
Practice Address - Phone:515-221-9222
Practice Address - Fax:515-221-0575
Is Sole Proprietor?:No
Enumeration Date:2007-06-01
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IA32799207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA50171OtherWELLMARK
IA50171OtherWELLMARK
IAI20459Medicare PIN