Organization
SPECTRUM HEALTH UNITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN JOHNSON (VP FINANCE)
(616) 225-6310
Entity
Organization
Contact information
Practice address
301 N MAIN ST, SHERIDAN, MI 48884-9235
(616) 754-2944
(616) 754-2999
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/06/2014
Last updated
08/06/2014
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