Provider Demographics
NPI:1053389940
Name:SPINNER-BLOCK, SARA NADINE (MD)
Entity type:Individual
Prefix:DR
First Name:SARA
Middle Name:NADINE
Last Name:SPINNER-BLOCK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10084 REISTERSTOWN RD STE 200B
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-4096
Mailing Address - Country:US
Mailing Address - Phone:410-526-7993
Mailing Address - Fax:410-526-5144
Practice Address - Street 1:750 MAIN ST
Practice Address - Street 2:
Practice Address - City:REISTERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21136-2515
Practice Address - Country:US
Practice Address - Phone:410-526-7993
Practice Address - Fax:410-526-5144
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054628208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDG73052Medicare UPIN