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Contact Information

NICOLE M SPENCER, MD
11850 BLACKFOOT ST NW STE 100
COON RAPIDS, MN55433-2774
 Phone: 763-712-2100
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecologic Oncology

207VX0201X 16 Physician/Obstetrics & Gynecology
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for NICOLE M SPENCER · (Female)

NPI Number 1760973176
Status Active
Credentials MD
Entity Individual
Enumeration date 05/21/2018
Last updated 08/18/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • MN License # 80221
  • TX License # T7051
  • TX Medicaid 1760973176
  • TX Other 1760973176 CSHCN
Hospital affiliation(s) Not Available
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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