Spence, Michael W

Spence, Michael W is an individual health care provider with primary practice located at 347 Smith Ave N Ste 203, Saint Paul MN 55102-2387. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Spence, Michael W can be contacted via phone (651) 241-7733.

Contact Information

Primary practice address
347 Smith Ave N Ste 203 Saint Paul MN 55102-2387
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 23188 Minnesota

Profile Details

NPI number 1992766810
LBN Legal business name Spence, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Oct 19th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1992766810 NPPES
Minnesota MEDICAID 204888400

Popular Providers