Healthcare Provider Details

I. General information

NPI: 1437252558
Provider Name (Legal Business Name): ERIC WILLIAM SPANGLER PHARM.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5838 METRO WAY SW
WYOMING MI
49519-9619
US

IV. Provider business mailing address

5838 METRO WAY SW
WYOMING MI
49519-9619
US

V. Phone/Fax

Practice location:
  • Phone: 616-249-5300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number03120648
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: