Active NPI 1619967890 Individual Practitioner Male Practitioner

Dr. Mark Reid Spanbauer , MD

Specialist • Alexandria, MN

Professional Overview & Biography Verified Profile Summary

Dr. Mark Spanbauer, MD is a registered healthcare professional specializing in Specialist in Alexandria, MN. Practice services are available at 111 17TH AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 17th Ave E

Alexandria, MN 563083703

Telephone 3207626072

Fax 3207626145

Associated Practice Facility / Clinic

🏢 Douglas County Hospital Facility NPI 1164424305

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Alexandria, MN

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 32.0 Yrs

State Avg: 34.7 Yrs

Regional Practice Density

96 Specialists

Practicing in Alexandria, MN (877 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License MN 23646

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ucare

115090 (MN)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Dean Trinh , MD

Specialist

NPI 1134119324

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 28, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2008

Registered at 111 17TH AVE E, ALEXANDRIA, MN 563083703 (Tel: 3207626072)

📍

Updated Business Mailing Address April 28, 2008

Registered at 2800 CAMPUS DR, SUITE 150, PLYMOUTH, MN 554412606 (Tel: 7632010492)

👤

Provider Name / Credentials Updated April 28, 2008

Recorded as MARK SPANBAUER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2008

Specialist (License #23646 in MN)

🟢

Initial NPI Registration & Enumeration October 27, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1619967890

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 27, 2005

Last Update: April 28, 2008

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2800 Campus Dr, Suite 150

Plymouth, MN 554412606

Phone: 7632010492

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.