Individual
DR. SPADE WHITTEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
814 S WASHINGTON AVE, TITUSVILLE, FL 32780-2406
(321) 377-1073
Mailing address
255 W MICHIGAN AVE, JACKSON, MI 49201-2218
(800) 242-1131
(517) 787-4146
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME44337
FL
Other
Enumeration date
10/25/2006
Last updated
11/30/2010
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