Individual
DR. REGINA LYNNE SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
10570 BLUE STAR M HWY, SOUTH HAVEN, MI 49090-8923
(269) 639-1115
(269) 639-2525
Mailing address
PO BOX 2078, PORTAGE, MI 49081-2078
(269) 639-1115
(269) 639-2525
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001629
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2783207
—
MI
05
—
3259601
—
MI
Enumeration date
08/10/2005
Last updated
07/09/2007
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