Healthcare Provider Details

I. General information

NPI: 1891923629
Provider Name (Legal Business Name): MEGAN ELIZABETH SPEARIN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MEGAN ELIZABETH SPRINGER PA-C

II. Dates (important events)

Enumeration Date: 07/01/2009
Last Update Date: 08/05/2025
Certification Date: 08/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 STEPHENSON HWY
TROY MI
48083-1103
US

IV. Provider business mailing address

3601 W 13 MILE RD
ROYAL OAK MI
48073-6712
US

V. Phone/Fax

Practice location:
  • Phone: 248-577-3520
  • Fax:
Mailing address:
  • Phone: 248-898-4021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085.003476
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601007161
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: