Organization
MARY LOU SPITZ MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LOU SPITZ MD (MANAGING AGENT OWNER)
(248) 738-2652
Entity
Organization
Contact information
Practice address
1368 MILL CREEK DR, WATERFORD, MI 48327-3091
(248) 738-2652
(248) 738-2652
Mailing address
1368 MILL CREEK DR, WATERFORD, MI 48327-3091
(248) 738-2652
(248) 738-2652
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301048891
MI
Other
Enumeration date
08/13/2006
Last updated
08/22/2020
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