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Individual

DR. TIMOTHY EUGENE SPENCER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
14250 BEADLE LAKE RD, STE 160, BATTLE CREEK, MI 49014-7200
(269) 841-4350
(269) 704-6125
Mailing address
PO BOX 153, CERESCO, MI 49033-0153
(269) 841-4350
(269) 704-6125

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
34.006663
OH
207T00000X
Neurological Surgery Physician
Primary
5101017055
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1454111555
BLUE CROSS BLUE SHIELD
MI
Enumeration date
04/12/2006
Last updated
09/24/2015
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