Individual
DR. MICHAEL JAMES SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3401 WOODDALE AVE S, ST LOUIS PARK, MN 55416-2340
(952) 929-3336
(952) 929-3338
Mailing address
3401 WOODDALE AVE S, ST LOUIS PARK, MN 55416-2340
(952) 929-3336
(952) 929-3338
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8018
MN
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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