Most Relevant Information
Provider Data
| NPI Number: | 1003317439 |
| Provider Name: | SPENCER WILLIAM BUCK PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 208100000X |
| Specialty: | Physical Medicine & Rehabilitation |
| License Number: | 5502003379 |
Most Important Dates
| Enumeration Date: | 02/21/2018 |
| Last Updated: | 02/21/2018 |
Provider Practice Location
901 E TINKHAM AVE
LUDINGTON
MI
494311536
Practice Location Phone/Fax
| Phone: | 2318432676 |
| Fax: |
Provider Mailing Location
901 E TINKHAM AVE
LUDINGTON
MI
494311536
Provider Mailing Phone/Fax
| Phone: | 2318432676 |
| Fax: |