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Individual

DAVID VINCENT SPURLIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
33301 WOODWARD AVE, BIRMINGHAM, MI 48009-0905
(248) 642-9111
(248) 593-1713
Mailing address
33301 WOODWARD AVE, BIRMINGHAM, MI 48009-0905
(248) 642-9111
(248) 593-1713

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301064183
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0706337892
BLUE CROSS BLUE SHIELD
MI
01
104038
GREAT LAKES HEALTH PLAN
MI
01
1679500573
NPI
MI
01
5363650
AETNA
01
C7166
MCARE
Enumeration date
06/27/2006
Last updated
01/22/2015
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