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Organization

SPECTRUM HEALTH UNITED

Active
Parent organization
SPECTRUM HEALTH UNITED
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECTRUM HEALTH UNITED
Authorized official
RYAN JOHNSON (VP FINANCE)
(616) 225-6310
Entity
Organization

Contact information

Practice address
701 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3516
(616) 754-6185
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
251B00000X
Case Management Agency
Primary

Other

Enumeration date
02/01/2012
Last updated
12/26/2013
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