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Individual

DR. ANTHONY D. SPITLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
26768 DEQUINDRE RD, WARREN, MI 48091-3939
(586) 751-3700
(586) 751-5398
Mailing address
12316 FRANK DR, BRUCE TOWNSHIP, MI 48065-4486
(586) 883-5088

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003673
MI
152WC0802X
Corneal and Contact Management Optometrist
4901003673
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
900E066320
BLUE CROSS & BLUE SHIELD
MI
Enumeration date
10/17/2006
Last updated
09/20/2023
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