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Organization
SPECTRUM HEALTH HOSPITALS
Active
Organization
SPECTRUM HEALTH HOSPITALS
Active
Other names
Spectrum Health Endoscopy Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS D. WELDAY (VICE PRESIDENT OF FINANCE)
(616) 391-2525
Entity
Organization
Contact information
Practice address
4100 LAKE DR SE, GRAND RAPIDS, MI 49546-8292
(616) 391-7580
Mailing address
100 MICHIGAN ST NE, MC 406, GRAND RAPIDS, MI 49503-2560
(616) 391-1774
(616) 774-7699
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
416830
MI
Other
Enumeration date
09/22/2005
Last updated
10/21/2014
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