Individual
ANDREA MARIE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16407 SOUTHFIELD RD STE A, ALLEN PARK, MI 48101-2571
(313) 271-3000
(313) 769-6024
Mailing address
16407 SOUTHFIELD RD STE A, ALLEN PARK, MI 48101-2571
(313) 271-3000
(313) 769-6024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4704267599
MI
207RN0300X
Nephrology Physician
4704267599
MI
363L00000X
Nurse Practitioner
Primary
4704267599
MI
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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