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NPI Code Detail

MEDICARE: DR. JAMES RICHARD SPEARS MD

MEDICARE: DR. JAMES RICHARD SPEARS 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
1207RC0000XCardiovascular Disease Physician4301052259MI
2207RI0011XInterventional Cardiology Physician4301052259MI
3207R00000XInternal Medicine Physician4301052259MI

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 : 1770520264
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES RICHARD SPEARS MD
Provider Business Mailing Address
First Line : 400 MACK AVE
Second Line :
City : DETROIT
State : MI
Zip : 48201-2136
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3990 JOHN R ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2018
Country : US
Telephone Number : 313-745-8040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2006
Last Update Date : 02/09/2026

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Directions to “ DR. JAMES RICHARD SPEARS MD” Practice Location

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