Individual
SPENCER GINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
279 SUMMIT DR, WATERFORD, MI 48328-3364
(248) 745-4900
Mailing address
279 SUMMIT DR, WATERFORD, MI 48328-3364
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
4704398546
MI
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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