Organization
EARLE W. SPOHN JR. D.O. P.C.
Active
Parent organization
EARLE W. SPOHN JR. D.O.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EARLE W. SPOHN JR. D.O.
Authorized official
DR. EARLE W SPOHN JR. DO (PRESIDENT-SOLE PROPRIETOR)
(248) 646-8411
Entity
Organization
Contact information
Practice address
27 BALFOUR DR, BLOOMFIELD HILLS, MI 48304
(248) 646-8411
(248) 646-2296
Mailing address
27 BALFOUR DR, BLOOMFIELD HILLS, MI 48304
(248) 646-8411
(248) 646-2296
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101005851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0258217514
BCBS
MI
05
—
1561975
—
MI
Enumeration date
03/19/2010
Last updated
07/28/2010
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