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Organization

SPECTRUM HEALTH PRIMARY CARE PARTNERS

Active
Parent organization
SPECTRUM HEALTH PRIMAY CARE PARTNERS
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECTRUM HEALTH PRIMAY CARE PARTNERS
Authorized official
PAULINE KRYWANSKI (CFO)
(616) 486-2253
Entity
Organization

Contact information

Practice address
330 BARCLAY AVE NE, SUITE 303, GRAND RAPIDS, MI 49503-2556
(616) 391-7999
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
12/01/2010
Last updated
12/01/2010
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