Individual
SCOTT SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37304 KINGS HWY, BEAVER ISLAND, MI 49782-5134
(231) 448-2275
Mailing address
9058 S TOTTENHAM DR, TRAVERSE CITY, MI 49685-8569
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704354457
MI
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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