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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
RYAN JOHNSON (VP FINANCE)
(616) 225-6310
Entity
Organization

Contact information

Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-7102
(616) 754-2944
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary

Other

Enumeration date
03/12/2013
Last updated
03/12/2013
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