Individual
JOEL ROBERT SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4771 TRIER RD, FORT WAYNE, IN 46815-4968
(260) 492-8300
Mailing address
4771 TRIER RD, FORT WAYNE, IN 46815-4968
(260) 492-8300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0800317A
IN
Other
Enumeration date
09/04/2019
Last updated
09/04/2019
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