Organization
SPECTRUM HEALTH SAINT MARYS SHARED TECHNOLOGY SERVICES INC
Active
Other names
Pet Medical Imaging & Pet Medical Imaging Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC A CHIRCOP (VP AMBULATORY SERVICES)
(616) 391-2796
Entity
Organization
Contact information
Practice address
3264 NORTH EVERGREEN DR, GRAND RAPIDS, MI 49525
(616) 391-6002
Mailing address
3264 NORTH EVERGREEN DR, GRAND RAPIDS, MI 49525
(616) 391-6002
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
08/20/2007
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