Individual
DR. KEVIN J SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5452 FORT ST STE 200, TRENTON, MI 48183-4638
(734) 642-2727
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
KS043956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2591389
—
MI
Enumeration date
01/30/2006
Last updated
09/26/2024
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