Individual
DR. ANDRE SPENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
123 4TH ST NW, BAGLEY, MN 56621-8306
(218) 694-2384
Mailing address
85 GRANDEVILLE RD SW, APT 912, ROCHESTER, MN 55902-3579
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
104420
MN
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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