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Individual

ALBERT SPICKERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
26193 MEREDITH DRIVE, WARREN, MI 48091
(313) 841-0395
(313) 841-0580
Mailing address
26193 MEREDITH DRIVE, WARREN, MI 48091

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4301064378
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4673616
MI
Enumeration date
01/25/2007
Last updated
07/09/2007
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