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1558850164
MICAH SPENCER
MISHAWAKA, IN
NPI
1558850164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: IN 99086926A)
Enumeration Date
2018-05-09
Last Update Date
2021-07-22
Business Address
MICAH SPENCER
611 E DOUGLAS RD STE 407
MISHAWAKA, IN 46545
Phone number: 574-335-6500
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Mailing Address
MICAH SPENCER
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-299-2450
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