Organization
SPECTRUM HEALTH HOSPITALS
Active
Parent organization
SPECTRUM HEALTH HOSPITALS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH HOSPITALS
Authorized official
PAULINE KRYWANSKI (SVP)
(616) 486-2253
Entity
Organization
Contact information
Practice address
4100 LAKE DR SE, GRAND RAPIDS, MI 49546-8292
(616) 267-4567
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
06/27/2011
Last updated
09/03/2014
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