Individual
STEPHEN MICHAEL SPADAFORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2951 EARHART RD, ANN ARBOR, MI 48105-9728
(734) 647-5640
Mailing address
300 N INGALLS ST BLDG NI4E10A, ANN ARBOR, MI 48109-0400
(734) 232-6776
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301505444
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
4301505444
MI
207QS0010X
Sports Medicine (Family Medicine) Physician
4351045878
MI
390200000X
Student in an Organized Health Care Education/Training Program
4351045878
MI
Other
Enumeration date
04/11/2017
Last updated
10/27/2021
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