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 (DIRECTOR OF FINANCE)
(616) 225-6310
Entity
Organization
Contact information
Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-7102
(616) 754-2944
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
02/27/2013
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