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1134120108

NPI Code Detail

MEDICARE: MR. FRANK REMINGTON SPRAGUE MD

MEDICARE: MR. FRANK REMINGTON SPRAGUE MD

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
1	207R00000X	Internal Medicine Physician	4301043372	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	19030	OTHER	MI	HEALTH PLAN OF MICHIGAN
3	700711016	OTHER	MI	BBSM
4	383324611116	OTHER	MI	COMMUNITY CHOICE

General Provider Information

NPI Number	:	1134120108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FRANK REMINGTON SPRAGUE MD

Provider Business Mailing Address
First Line	:	2700 BAKER ST FL 3
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49444-2157
Country	:	US
Telephone Number	:	231-737-1335
Fax Number	:

Provider Business Practice Location Address
First Line	:	376 E APPLE AVE
Second Line	:
City	:	MUSKEGON
State	:	MI
Zip	:	49442-3466
Country	:	US
Telephone Number	:	231-724-1335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	01/03/2022

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Directions to “ MR. FRANK REMINGTON SPRAGUE MD” Practice Location

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