Provider Demographics
NPI:1649838152
Name:MILLEN, SPENCER MONROE (MD)
Entity type:Individual
Prefix:
First Name:SPENCER
Middle Name:MONROE
Last Name:MILLEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:18 MDG, KADENA AB
Mailing Address - Street 2:UNIT 5268 OPC 80 BOX 5217
Mailing Address - City:APO
Mailing Address - State:AP
Mailing Address - Zip Code:96368-5268
Mailing Address - Country:US
Mailing Address - Phone:312-630-4780
Mailing Address - Fax:
Practice Address - Street 1:18 MDG, KADENA AB
Practice Address - Street 2:UNIT 5268 OPC 80 BOX 5217
Practice Address - City:APO
Practice Address - State:AP
Practice Address - Zip Code:96368-5268
Practice Address - Country:US
Practice Address - Phone:312-630-4780
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-30
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012716982080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine