person
Dr. Michael Timothy Spears JR., MD
Student in an Organized Health Care Education/Training Program in Indianapolis, Indiana
NPI 1063090447

Michael Timothy Spears JR. is a Student in an Organized Health Care Education/Training Program based in Carmel, IN. Michael Timothy Spears JR. practices in Indianapolis, IN and has the professional credentials of MD. The NPI Number for Michael Timothy Spears JR. is 1063090447 and holds a License No. (Indiana).

The current practice location address for Michael Timothy Spears JR. is 1130 W Michigan St # Fh204, Indianapolis, IN and can be reached out via phone at 317-460-1093.

Location: 1130 W Michigan St # Fh204, Indianapolis, IN, 46033-8856
person
Provider Profile Details
NPI Number
1063090447
Provider Name
Michael Timothy Spears JR.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1130 W Michigan St # Fh204, Indianapolis, IN, 46033-8856
Phone Number
317-460-1093
Fax Number
Provider Enumeration Date
03/29/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300-32010 05 IN
institution
Provider Business Practice Location Address Details
Address
1130 W Michigan St # Fh204
City
State
Zip
46202-5209
Phone Number
317-460-1093
Fax Number
person
Provider Business Mailing Address Details
Address
1130 W Michigan St # Fh204
City
State
Zip
46202-5209
Phone Number
317-460-1093
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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