Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other names
Corewell Health Medical Group West Pediatric Diabetes Education, Spectrum Health Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
RYAN CATIGNANI (VP FINANCE)
(947) 522-0008
Entity
Organization
Contact information
Practice address
35 MICHIGAN ST NE STE 1800, GRAND RAPIDS, MI 49503-2568
(616) 391-3933
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
—
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
Other
Enumeration date
10/21/2016
Last updated
10/26/2023
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