Individual
MICHAEL JOHN SPIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3095 KETTERING BLVD, MORAINE, OH 45439-1983
(937) 293-8300
Mailing address
5136 PHILLIPSBURG UNION RD, ENGLEWOOD, OH 45322-8707
(937) 825-6351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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