Most Relevant Information
Provider Data
| NPI Number: | 1003572199 |
| Provider Name: | REBECCA SPALO |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 4704261249 |
Most Important Dates
| Enumeration Date: | 11/12/2021 |
| Last Updated: | 11/12/2021 |
Provider Practice Location
303 E KEARSLEY ST
FLINT
MI
485021907
Practice Location Phone/Fax
| Phone: | 2315801634 |
| Fax: |
Provider Mailing Location
10734 WALANDER NE
CEDAR SPRINGS
MI
493198365
Provider Mailing Phone/Fax
| Phone: | 2315801634 |
| Fax: |