Individual
SPENCER GIBBS KIBBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3040 CHARLESGATE AVE SW, WYOMING, MI 49509-3057
(989) 590-0902
Mailing address
3040 CHARLESGATE AVE SW, WYOMING, MI 49509-3057
(989) 590-0902
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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