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Individual

JOSEPH MICHAEL SPEICHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D,O,

Contact information

Practice address
100 HOSPITAL DR, MONTROSE, PA 18801
(570) 278-3801
(570) 278-4312
Mailing address
100 HOSPITAL DR, MONTROSE, PA 18801
(570) 278-3801
(570) 278-4312

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS004654L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
OS004654L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0964357
PA
Enumeration date
11/14/2005
Last updated
12/04/2013
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