Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
PAULINE KRYWANSKI (SVP FINANCE)
(616) 486-2253
Entity
Organization
Contact information
Practice address
965 S BAILEY AVE, SUITE 2-5, SOUTH HAVEN, MI 49090-6743
(616) 494-5860
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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