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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

MICHAEL P SPENCER, MD
2800 CHICAGO AVE S
300
MINNEAPOLIS, MN55407-1353
 Phone: 651-225-7855
 Fax: 651-312-1570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Colon & Rectal Surgery

208C00000X 28 Physician/Colorectal Surgery (Proctology)
Indicates primary specialty

NPI Profile & details for MICHAEL P SPENCER · (Male)

NPI Number 1386653947
Credentials MD
Entity Individual
Enumeration date 08/05/2006
Last updated 10/22/2015 - About 10 months ago
Sole proprietor 1 No
Identifiers
MN License # 30322
MN Medicaid 306590100
MN Medicare UPIN F23111
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
  • FAIRVIEW SOUTHDALE HOSPITAL - (Acute Care)
    6401 FRANCE AVENUE SOUTH
    EDINA, MN 55435
  • MERCY HOSPITAL - (Acute Care)
    4050 COON RAPIDS BLVD
    COON RAPIDS, MN 55433
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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