Organization
WOMENS OB GYN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRISTINE K SPENCE D.O. (PRESIDENT OF CORPORATION)
(989) 792-3100
Entity
Organization
Contact information
Practice address
5400 MACKINAW RD, SUITE 6100, SAGINAW, MI 48604-9515
(989) 792-3100
(989) 792-9860
Mailing address
5400 MACKINAW RD, SUITE 6100, SAGINAW, MI 48604-9515
(989) 792-3100
(989) 792-9860
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G360410
BCBS GROUP ID NUMBER
MI
01
—
1W27300721
HEALTH PLUS GROUP ID #
MI
01
—
G00875
BLUE CARE NETWORK ID #
MI
Enumeration date
01/04/2006
Last updated
02/09/2024
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