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Micah Spencer
Podiatrist in Mishawaka, Indiana
NPI 1558850164

Micah Spencer is a Podiatrist based in South Bend, IN. Micah Spencer practices in Mishawaka, IN. The NPI Number for Micah Spencer is 1558850164 and holds a License No. 99086926A (Indiana).

The current practice location address for Micah Spencer is 611 E Douglas Rd Ste 407, Mishawaka, IN and can be reached out via phone at 574-335-6500. You can also correspond with Micah Spencer through the mailing address at 211 N EDDY ST, SOUTH BEND, IN - 46617-2808 (mailing address contact number: 574-299-2450).

Location: 611 E Douglas Rd Ste 407, Mishawaka, IN, 46617-2808
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558850164
Provider Name
Micah Spencer
Credential
Provider Entity Type
Individual
Gender
Male
Address
611 E Douglas Rd Ste 407, Mishawaka, IN, 46617-2808
Phone Number
574-335-6500
Fax Number
Provider Enumeration Date
05/09/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300014870 05 IN
institution
Provider Business Practice Location Address Details
Address
611 E Douglas Rd Ste 407
City
Mishawaka
State
Indiana
Zip
46545
Phone Number
574-335-6500
Fax Number
person
Provider Business Mailing Address Details
Address
211 N Eddy St
City
South Bend
State
Indiana
Zip
46617-2808
Phone Number
574-299-2450
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
-
Taxonomy
213E00000X
License No.
99086926A (Indiana)
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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