Individual
ARIEL SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 N TOWNLINE RD STE 101, LAGRANGE, IN 46761-1325
(260) 463-9316
(260) 463-9334
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
01066930A
IN
208600000X
Surgery Physician
MD 47599
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD 47599
TN MEDICAL LICENSE
TN
Enumeration date
05/16/2007
Last updated
10/12/2022
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