DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. PAUL J SPENCER, D.O.

Active Sole Proprietor

DR. PAUL J SPENCER, D.O. is a Family Medicine healthcare provider located in WHITE BEAR LAKE, Minnesota. NPI 1376544650 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · WHITE BEAR LAKE, MN

Registration Details

NPI Number
1376544650
Provider Type
Individual
Gender
Male
NPI Issued
Aug 9, 2005 (21.010317756629 yrs)
Last Updated
Jul 21, 2022
License
31236 (MN)
Sole Proprietor
Yes

Practice Information

Address
4465 WHITE BEAR PARKWAY
WHITE BEAR LAKE, MN, 55110
Browse MN providers · Browse ZIP 55110
Phone
6516530062
Fax
6516530288
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in WHITE BEAR LAKE, MN

Name Credential NPI
DR. MARY M PAQUETTE MD 1598766875
GREGORY D STEEBER MD 1306811021
JENNIFER A LAKE MD 1245205301
DR. DANIELLE R PERRY RAMIREZ MD 1992772354
LAURA LENEE SLINGS MD 1831158781
DR. TERESA A PENA MD 1720030083
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.