Individual
CARRELL RICE SPANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
105 ARBOR LN, ALPENA, MI 49707-1301
(989) 356-3485
(989) 356-6396
Mailing address
105 ARBOR LN, ALPENA, MI 49707-1301
(989) 356-3485
(989) 356-6396
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301088986
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922020825
—
MI
Enumeration date
07/23/2006
Last updated
12/20/2011
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