Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Other names
Corewell Health Medical Group West
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CATIGNANI (VP PROVIDER SERVICES)
(947) 522-0008
Entity
Organization
Contact information
Practice address
880 MUNSON AVE, TRAVERSE CITY, MI 49686-3661
(616) 267-2100
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
04/03/2024
Last updated
04/03/2024
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