Individual
SPENCER MICAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1000 E MOUNTAIN BLVD, WILKES BARRE, PA 18711-0001
(570) 218-9188
Mailing address
2607 SPENCER RD, CHEVY CHASE, MD 20815-3824
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
PA
Other
Enumeration date
04/03/2026
Last updated
04/03/2026
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