Individual
JEREMY L SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2770 S STATE RD, IONIA, MI 48846-8472
(231) 872-0657
Mailing address
414 BENSON AVE NE APT 1315, GRAND RAPIDS, MI 49503-0040
(231) 872-0657
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302042516
MI
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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