Individual
MICHAEL SPACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1342 SOUTH DIVISION STREET, UNIT 401, PENINSULA UROLOGY ASSOCIATES PA, SALISBURY, MD 21084
(410) 546-2133
(410) 548-3361
Mailing address
1342 SOUTH DIVISION STREET, UNIT 401, PENINSULA UROLOGY ASSOCIATES PA, SALISBURY, MD 21084
(410) 546-2133
(410) 548-3361
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0001119
MD
Other
Enumeration date
03/27/2006
Last updated
07/08/2007
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