| Tara L Spisak, RD, LD, CDE | |
|
121 Westfield Dr Ste 1, Archbold, OH 43502-1005 | |
| (419) 445-2015 | |
| (419) 445-8102 |
| Full Name | Tara L Spisak |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 121 Westfield Dr Ste 1, Archbold, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134433618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD.4906 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tara L Spisak, RD, LD, CDE 11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701 Ph: () - | Tara L Spisak, RD, LD, CDE 121 Westfield Dr Ste 1, Archbold, OH 43502-1005 Ph: (419) 445-2015 |
Mrs. Andrea Marie Miller, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 121 Westfield Dr Ste 1, Archbold, OH 43502 Phone: 419-445-2015 Fax: 419-445-8102 | |
Michele Stewart Nafziger, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 121 Westfield Dr, Suite 1, Archbold, OH 43502 Phone: 419-445-2015 Fax: 419-445-8102 |