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Organization
SPECTRUM HEALTH PRIMARY CARE PARTNER
Active
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
1534 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49507-2114
(616) 267-4170
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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