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Individual

SPENCER CARL CLELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
401 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-7500
Mailing address
8170 33RD AVE S, MS 21110Q, BLOOMINGTON, MN 55425-4516

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
2021017479
MO
207W00000X
Ophthalmology Physician
Primary
76636
MN

Other

Enumeration date
03/27/2020
Last updated
08/20/2024
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