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Individual
VICKIE RENEE SPENCER
Active
Individual
VICKIE RENEE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2301004360
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4930150
—
MI
01
—
950C950530
BCBS
MI
Enumeration date
04/25/2006
Last updated
05/29/2014
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