Individual
DOUGLAS M SPENCE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 W FRONT ST, TRAVERSE CITY, MI 49684-2317
(231) 935-0788
(231) 935-0787
Mailing address
1225 W FRONT ST, TRAVERSE CITY, MI 49684-2317
(231) 935-0788
(231) 935-0787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301074856
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4319609
—
MI
05
—
4693261
—
MI
Enumeration date
10/13/2006
Last updated
12/30/2011
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