Provider Demographics
NPI:1053616342
Name:SPEAR, ALYSIA BEMUS
Entity type:Individual
Prefix:MS
First Name:ALYSIA
Middle Name:BEMUS
Last Name:SPEAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3300 OAKDALE AVE N
Mailing Address - Street 2:PERINATAL CENTER--3 EAST
Mailing Address - City:ROBBINSDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55422-2926
Mailing Address - Country:US
Mailing Address - Phone:763-520-5950
Mailing Address - Fax:763-520-4138
Practice Address - Street 1:3300 OAKDALE AVE N
Practice Address - Street 2:PERINATAL CENTER--3 EAST
Practice Address - City:ROBBINSDALE
Practice Address - State:MN
Practice Address - Zip Code:55422-2926
Practice Address - Country:US
Practice Address - Phone:763-520-5950
Practice Address - Fax:763-520-4138
Is Sole Proprietor?:No
Enumeration Date:2011-01-18
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS