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Organization

SPECTRUM HEALTH PRIMARY CARE PARTNER

Active
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Organization

SPECTRUM HEALTH PRIMARY CARE PARTNER

Active
Other names
Corewell Health Medical Group West
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN CATIGNANI (VP PROVIDER SERVICES)
(947) 522-0008
Entity
Organization

Contact information

Practice address
14755 215TH AVE, BIG RAPIDS, MI 49307-9224
(616) 447-5820
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
08/27/2024
Last updated
08/27/2024
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