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 KRYWANSKI (SVP)
(616) 486-2253
Entity
Organization
Contact information
Practice address
330 BARCLAY AVE NE, SUITE 104, GRAND RAPIDS, MI 49503-2556
(616) 391-7948
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/05/2010
Last updated
12/02/2010
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