Organization
GREATER MICHIGAN SPINE & NEUROLOGIC INSTITUTE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY EUGENE SPENCER DO (PRESIDENT)
(989) 214-2166
Entity
Organization
Contact information
Practice address
4641 E PICKARD ST STE A, MT PLEASANT, MI 48858-2189
(989) 214-2166
(989) 214-2163
Mailing address
4641 E PICKARD ST STE A, MT PLEASANT, MI 48858-2189
(989) 214-2166
(989) 214-2163
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140D120050
BCBSM GROUP PIN
MI
01
—
1454111555
BCBSM
MI
Enumeration date
08/23/2006
Last updated
01/27/2020
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