Individual
SPENCER K MICHALKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8925 COLONIAL CENTER DR STE 1000, FORT MYERS, FL 33905-7813
(239) 396-8930
(239) 396-8932
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 396-8930
(239) 396-8932
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
13930346-1205
UT
208200000X
Plastic Surgery Physician
62006
AZ
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME173641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126716100
—
FL
Enumeration date
05/09/2012
Last updated
06/06/2025
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