Provider Demographics
NPI:1215149117
Name:SPENCER, BROOKE LYN (MD)
Entity type:Individual
Prefix:DR
First Name:BROOKE
Middle Name:LYN
Last Name:SPENCER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:LYN
Other - Last Name:TROTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4100 BEECHER RD STE A
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:MI
Mailing Address - Zip Code:48532-3661
Mailing Address - Country:US
Mailing Address - Phone:810-342-3813
Mailing Address - Fax:810-342-3784
Practice Address - Street 1:4100 BEECHER RD STE A
Practice Address - Street 2:
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48532-3661
Practice Address - Country:US
Practice Address - Phone:810-342-3800
Practice Address - Fax:810-342-3784
Is Sole Proprietor?:No
Enumeration Date:2007-05-04
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43010937632085R0001X, 2085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology