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Organization

SPECTRUM HEALTH UNITED

Active
Parent organization
SPECTRUM HEALTH UNITED
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECTRUM HEALTH UNITED
Authorized official
RYAN JOHNSON (VP FINANCE)
(616) 225-6310
Entity
Organization

Contact information

Practice address
615 S BOWER ST, GREENVILLE, MI 48838-2614
(616) 754-4691
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
MI

Other

Enumeration date
05/25/2011
Last updated
12/26/2013
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