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Individual

DR. SPENCER ROBISON KOCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5333 MCAULEY DR, SUITE 6016, YPSILANTI, MI 48197-1014
(734) 712-8350
(734) 712-8351
Mailing address
5333 MCAULEY DR, SUITE 6016, YPSILANTI, MI 48197-1014
(734) 712-8350
(734) 712-8351

Taxonomy

Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
163466
NC
2085R0202X
Diagnostic Radiology Physician
Primary
4301086442
MI

Other

Enumeration date
05/18/2007
Last updated
08/30/2013
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