Individual
DR. SPENCER MASIEWICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
809 82ND PKWY, MYRTLE BEACH, SC 29572-4607
(843) 692-1752
(843) 692-1904
Mailing address
809 82ND PARKWAY ATTN GME, MYRTLE BEACH, SC 29572
(510) 407-2331
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL41037
SC
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/20/2017
Last updated
02/05/2020
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