Spencer, Michael P

Spencer, Michael P is an individual health care provider with primary practice located at 2800 Chicago Ave S 300, Minneapolis MN 55407-1353. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Spencer, Michael P can be contacted via phone (651) 225-7855.

Contact Information

Primary practice address
2800 Chicago Ave S 300 Minneapolis MN 55407-1353
Phone: (651) 225-7855
Fax: (651) 312-1570
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 30322 Minnesota

Profile Details

NPI number 1386653947
LBN Legal business name Spencer, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Feb 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386653947 NPPES
Minnesota MEDICAID 306590100

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