| Doctor Name: | DEBBERA J SPEETER |
| NPI Number: | 1063482537 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 4704119224 |
| Business Practice Address: | 3300 W Centre Ave Bronson Ob Gyn Associates Portage, MI - 490244666 |
| Business Phone Number: | 2693272211 |
| Business Fax Number: | 2693270273 |
| Mailing Address: | 601 John St, Box 42 KALAMAZOO |
| State: | MI |
| Postal Code: | 490075341 |
| Phone Number: | 2693417806 |
| Fax Number: | 2693418743 |
| NPI Enumeration Date: | 01/25/2006 |
| NPI Last Update Date: | 11/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 4704119224 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |