Organization
SPENCE REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JOHN SPENCE M.D. (MEMBER)
(574) 520-3489
Entity
Organization
Contact information
Practice address
9305 CALUMET AVE, SUITE C-1, MUNSTER, IN 46321-2887
(574) 520-3489
Mailing address
5435 BUCKEYE AVE, PORTAGE, IN 46368-4205
(219) 734-6573
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01062328A
IN
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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