Individual
MR. MICHAEL W. SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, PMHNP-BC, NP-C
Contact information
Practice address
800 M 139, BENTON HARBOR, MI 49022-3881
(269) 927-5400
Mailing address
50 INDUSTRIAL PARK RD, BANGOR, MI 49013-1246
(269) 427-7937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704192354
MI
363LF0000X
Family Nurse Practitioner
Primary
4704192354
MI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4704192354
MI
Other
Enumeration date
03/13/2014
Last updated
06/15/2021
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