Organization
SPECTRUM HEALTH KELSEY
Active
Parent organization
SPECTRUM HEALTH KELSEY
Other names
Specturm Health Kelsey Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH KELSEY
Authorized official
RYAN JOHNSON (CONTROLLER)
(616) 225-6310
Entity
Organization
Contact information
Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-9806
(989) 352-6474
(989) 352-8451
Mailing address
PO BOX 3567, GRAND RAPIDS, MI 49501-3567
(231) 832-8555
(231) 832-1319
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
1060000147
MI
Other
Enumeration date
07/28/2010
Last updated
07/06/2016
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