# SPECTRUM HEALTH HOSPITALS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECTRUM HEALTH HOSPITALS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477820074
- **Legal business name:** SPECTRUM HEALTH HOSPITALS
- **Authorized official:** JOE FIFER (SVP)
- **Authorized official phone:** (616) 486-6790

## Contact information

- **Practice address:** 1200 6TH ST, SUITE 100, TRAVERSE CITY, MI 49684-2369
- **Practice address phone:** (616) 267-1925
- **Mailing address:** 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | NULL | Yes |
| 2080P0207X | Pediatric Hematology & Oncology Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/27/2011
- **Last updated:** 09/11/2013