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Organization

SPECTRUM HEALTH HOSPITALS

Active
Parent organization
SPECTRUM HEALTH HOSPITALS
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECTRUM HEALTH HOSPITALS
Authorized official
POLLY KRYWANSKI (SVP OF FINANCE)
(616) 486-2253
Entity
Organization

Contact information

Practice address
412 PLYMOUTH AVE NE, GRAND RAPIDS, MI 49505-6028
(616) 742-5902
Mailing address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
11/15/2010
Last updated
11/15/2010
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