Individual
DR. PETER BENJAMIN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
3950 HOLLYWOOD RD, 230, SAINT JOSEPH, MI 49085-9159
(269) 985-0000
(269) 985-0360
Mailing address
3950 HOLLYWOOD RD, 230, SAINT JOSEPH, MI 49085-9159
(269) 985-0000
(269) 985-0360
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
5101010692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4170564
—
MI
Enumeration date
07/07/2005
Last updated
08/20/2014
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