Organization
SPECTRUM TRANSPORTION OF GRAND RAPIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD L BATES (OWNER)
(616) 437-2572
Entity
Organization
Contact information
Practice address
7700 FOX HAVEN CT SE, ADA, MI 49301-8637
(616) 437-2572
Mailing address
7700 FOX HAVEN CT SE, ADA, MI 49301-8637
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
11/30/2019
Last updated
11/30/2019
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