Most Relevant Information
Provider Data
| NPI Number: | 1003519422 |
| Provider Name: | SPENCER PANSE DPM |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2023 |
| Last Updated: | 03/24/2023 |
Provider Practice Location
22201 MOROSS RD STE 250
DETROIT
MI
482362175
Practice Location Phone/Fax
| Phone: | 3133433423 |
| Fax: | 3133433401 |
Provider Mailing Location
22201 MOROSS RD STE 250
DETROIT
MI
482362175
Provider Mailing Phone/Fax
| Phone: | 3133433423 |
| Fax: | 3133433401 |