Provider Demographics
NPI:1366433229
Name:SPIGELMAN, ALAN V (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:V
Last Name:SPIGELMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1750 S TELEGRAPH RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48302-0166
Mailing Address - Country:US
Mailing Address - Phone:248-333-2900
Mailing Address - Fax:248-333-3539
Practice Address - Street 1:1750 S TELEGRAPH RD
Practice Address - Street 2:SUITE 205
Practice Address - City:BLOOMFIELD HILLS
Practice Address - State:MI
Practice Address - Zip Code:48302-0166
Practice Address - Country:US
Practice Address - Phone:248-333-2900
Practice Address - Fax:248-333-3539
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301050915207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E25533Medicare UPIN
F37281003Medicare ID - Type Unspecified