Individual
SPENCER DENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 REPUBLIC DR, ALLEN PARK, MI 48101-3650
(281) 415-4969
Mailing address
222 REPUBLIC DR, ALLEN PARK, MI 48101-3650
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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