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Individual

DR. MICHAEL P SPENCER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6363 FRANCE AVE S STE 400, EDINA, MN 55435-2142
(651) 312-1700
(952) 920-4148
Mailing address
2550 UNIVERSITY AVE W STE 110N, SAINT PAUL, MN 55114-8693
(651) 602-5312

Taxonomy

Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
30322
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
306590100
MN
Enumeration date
08/05/2006
Last updated
08/04/2025
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