Individual
TANNER EDWARD SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
928 E 10 MILE RD STE 100, FERNDALE, MI 48220-3041
(248) 621-5650
(248) 621-5651
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502008959
MI
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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