Individual
JEREMY SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
1525 W CARO RD, CARO, MI 48723-9686
(989) 672-2100
Mailing address
323 N STATE ST, CARO, MI 48723-1537
(989) 673-6191
(989) 672-2199
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
4704286855
MI
Other
Enumeration date
12/14/2015
Last updated
05/26/2024
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