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NPI Code Detail

MEDICARE: DR. SPENCER RYAN COPELAND DO

MEDICARE: DR. SPENCER RYAN COPELAND DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician5151016185MI
2207Q00000XFamily Medicine Physician5151016185MI

General Provider Information

NPI Number : 1033807789
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SPENCER RYAN COPELAND DO
Provider Business Mailing Address
First Line : 1 GENESYS PKWY
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8065
Country : US
Telephone Number : 810-606-5985
Fax Number :
Provider Business Practice Location Address
First Line : 1 GENESYS PKWY
Second Line :
City : GRAND BLANC
State : MI
Zip : 48439-8065
Country : US
Telephone Number : 810-606-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2023
Last Update Date : 06/16/2026

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Directions to “ DR. SPENCER RYAN COPELAND DO” Practice Location

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