Most Relevant Information
Provider Data
| NPI Number: | 1003345067 |
| Provider Name: | SPENCER SEIBERT OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 3508 |
Most Important Dates
| Enumeration Date: | 06/05/2017 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
1307 ALBION AVE STE 102
FAIRMONT
MN
560311850
Practice Location Phone/Fax
| Phone: | 5072384228 |
| Fax: | 5072384229 |
Provider Mailing Location
1307 ALBION AVE STE 102
FAIRMONT
MN
560311850
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |