Dr. Timothy Eugene Spencer JR.
Neurosurgeon
14250 Beadle Lake Rd Ste 160
Battle Creek
, Michigan 49014-7200
Dr. Timothy Eugene Spencer JR.
Neurosurgeon
14250 Beadle Lake Rd Ste 160
Battle Creek
, Michigan 49014-7200
(269) 704-6125
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About
Features
Specialties
- Neurosurgeon
Languages spoken
- English
Location
First Address
- Dr. Timothy Eugene Spencer JR.
- Po Box 153
- Ceresco, MI
- Zip : 49033-0153
- Fax : (269) 704-6125
- Phone : (269) 841-4350
Second Address
- Dr. Timothy Eugene Spencer JR.
- 14250 Beadle Lake Rd Ste 160
- Battle Creek, MI
- Zip : 49014-7200
- Fax : (269) 704-6125
- Phone : (269) 841-4350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207T00000X | Neurosurgeon | 34.006663 | OH |
| Y | 207T00000X | Neurosurgeon | 5101017055 | MI |
National Provider Identifier
| NPI | 1053375758 |
|---|---|
| Provider Name | Dr. Timothy Eugene Spencer JR. |
| First Address | Ceresco, MI 49033-0153 |
| Second Address | Battle Creek, MI 49014-7200 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/04/2006 |
| Last Update Date | 24/09/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1454111555 | BLUE CROSS BLUE SHIELD (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.