Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
PAULINE M KRYWANSKI (SVP, FINANCE)
(616) 486-2253
Entity
Organization
Contact information
Practice address
426 MICHIGAN ST NE, SUITE 102, GRAND RAPIDS, MI 49503-5609
(616) 391-2242
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
MI
103TA0700X
Adult Development & Aging Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
05/07/2010
Last updated
09/10/2013
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