Stephen Michael Spadafore, M.D.
Family Medicine, Sports Medicine in Ann Arbor, MI. Individual provider (NPI-1).
NPI number1982138442
StatusActive
Last updated in NPPESOct 27, 2021
Details
- NPI
- 1982138442
- Entity type
- Individual (NPI-1)
- Name
- Stephen Michael Spadafore
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 11, 2017
- Certification date
- Oct 27, 2021
- Last updated
- Oct 27, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QS0010X | Family Medicine, Sports Medicine | 4301505444 | MI | Yes |
| 207Q00000X | Family Medicine | 4301505444 | MI | |
| 207QS0010X | Family Medicine, Sports Medicine | 4351045878 | MI | |
| 390200000X | Student in an Organized Health Care Education/Training Program | 4351045878 | MI |
Practice location
2951 Earhart RdAnn Arbor, MI 48105-9728
Phone 734-647-5640
Mailing address
300 N Ingalls St Bldg Ni4e10aAnn Arbor, MI 48109-0400
Phone 734-232-6776
Other practice locations
13001 E 17th Pl
Aurora, CO 80045-2570
Aurora, CO 80045-2570
Phone 720-553-2696
799 N Hewitt Rd
Ypsilanti, MI 48197-1701
Ypsilanti, MI 48197-1701
Phone 989-245-3968
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Other Sports Medicine (Family Medicine) Physician providers in Ann Arbor, MI
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All 5 Sports Medicine (Family Medicine) Physician providers in Ann Arbor · All 17,406 providers in Ann Arbor
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