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NPI Code Detail

MEDICARE: DR. JAMES D SPENCER DO

MEDICARE: DR. JAMES D SPENCER 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
1207V00000XObstetrics & Gynecology Physician5101009107MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063495877
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES D SPENCER DO
Provider Business Mailing Address
First Line : 406 E ELM ST
Second Line :
City : CARSON CITY
State : MI
Zip : 48811-9693
Country : US
Telephone Number : 989-584-6139
Fax Number : 989-584-2541
Provider Business Practice Location Address
First Line : 406 E ELM ST
Second Line :
City : CARSON CITY
State : MI
Zip : 48811-9693
Country : US
Telephone Number : 989-584-6139
Fax Number : 989-584-2541
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/25/2005
Last Update Date : 07/21/2022

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