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Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Other names
Corewell Health Medical Group West
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CATIGNANI MD (VP FINANCE)
(947) 522-0008
Entity
Organization
Contact information
Practice address
1840 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2921
(616) 486-6793
Mailing address
PO BOX 2864, GRAND RAPIDS, MI 49501-2864
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
MI
207R00000X
Internal Medicine Physician
Primary
—
MI
207V00000X
Obstetrics & Gynecology Physician
—
MI
207X00000X
Orthopaedic Surgery Physician
—
MI
2080A0000X
Pediatric Adolescent Medicine Physician
—
MI
2080N0001X
Neonatal-Perinatal Medicine Physician
—
MI
2080P0202X
Pediatric Cardiology Physician
—
MI
2080P0203X
Pediatric Critical Care Medicine Physician
—
MI
2080P0205X
Pediatric Endocrinology Physician
—
MI
2080P0206X
Pediatric Gastroenterology Physician
—
MI
2080P0207X
Pediatric Hematology & Oncology Physician
—
MI
2086S0102X
Surgical Critical Care Physician
—
MI
261QR0200X
Radiology Clinic/Center
—
—
Other
Enumeration date
05/10/2006
Last updated
10/26/2023
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