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Individual

MR. EARLE W SPOHN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
7815 EAST JEFFERSON, SUITE 3D, DETROIT, MI 48214
(313) 499-4862
(313) 499-4865
Mailing address
27 BALFOUR DR, BLOOMFIELD HILLS, MI 48304
(248) 646-8411
(248) 646-2296

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101005851
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0288229095
BCBS
MI
05
1561975
MI
01
8822909
BCBS
MI
Enumeration date
08/11/2006
Last updated
07/28/2010
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