Individual
TAWANNA SPERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14799 DIX TOLEDO RD, SOUTHGATE, MI 48195-2507
(313) 258-4230
Mailing address
18839 HARMAN ST, MELVINDALE, MI 48122-1439
(313) 258-4230
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
247200000X
Other Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247200000X
—
MI
Enumeration date
07/24/2019
Last updated
02/14/2025
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