Spencer, Marisa Ann
Spencer, Marisa Ann is an sole proprietor health care provider with primary practice located at 237 Radio Dr Ste 210 , Woodbury MN 55125-4478. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Spencer, Marisa Ann can be contacted via phone (612) 871-1145.Contact Information
Primary practice address
237 Radio Dr Ste 210
Woodbury MN 55125-4478
Phone: (612) 871-1145
Fax: (612) 870-5491
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 69162 | Wisconsin |
Profile Details
| NPI number | 1053637223 |
|---|---|
| LBN Legal business name | Spencer, Marisa Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2010 |
| Last updated | Aug 11th, 2023 - about 3 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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