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Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other names
Corewell Health Medical Group West Imaging
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
PAULINE KRYWANSKI (SVP)
(616) 486-2253
Entity
Organization
Contact information
Practice address
4100 LAKE DR SE, SUITE 102, GRAND RAPIDS, MI 49546-8292
(616) 974-4800
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2010
Last updated
10/26/2023
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