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Individual

BERT ROBERT SPENCE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6363 FRANCE AVE S, SUITE 500, EDINA, MN 55435-2129
(952) 920-7660
(952) 920-2049
Mailing address
6363 FRANCE AVE S, SUITE 500, EDINA, MN 55435-2129
(952) 920-7660
(952) 920-2049

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19236
MN

Other

Enumeration date
07/27/2006
Last updated
07/08/2007
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