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Organization
SPECTRUM HEALTH UNITED
Active
Organization
SPECTRUM HEALTH UNITED
Active
Parent organization
SPECTRUM HEALTH UNITED
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH UNITED
Authorized official
ELISABETH LACEY (CREDENTIALING MGR)
(616) 486-6630
Entity
Organization
Contact information
Practice address
7188 AVENUE B, VESTABURG, MI 48891-9502
(616) 754-6185
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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