Organization
SPECTRUM HEALTH HOSPITALS
Active
Parent organization
SPECTRUM HEALTH HOSPITALS
Other names
Spectrum Health Maternal Infant Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH HOSPITALS
Authorized official
CHRISTINA FREESE-DECKER (PRESIDENT)
(616) 391-2099
Entity
Organization
Contact information
Practice address
665 SEWARD AVE NW, GRAND RAPIDS, MI 49504-5190
(616) 391-6135
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
07/14/2015
Last updated
03/10/2016
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