Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other names
Corewell Health Medical Group West Adult Diabetes Education, Spectrum Health Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
RYAN M CATIGNANI (VP FINANCE)
(947) 522-0008
Entity
Organization
Contact information
Practice address
4069 LAKE DR SE, STE. 315, GRAND RAPIDS, MI 49546-8816
(616) 267-8950
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/08/2013
Last updated
10/26/2023
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