| Doctor Name: | ALBERT SPICKERS |
| NPI Number: | 1487709630 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 4301064378 |
| Business Practice Address: | 26193 Meredith Drive Warren, MI - 48091 |
| Business Phone Number: | 3138410395 |
| Business Fax Number: | 3138410580 |
| Mailing Address: | 26193 Meredith Drive, WARREN |
| State: | MI |
| Postal Code: | 48091 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/25/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 4301064378 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |