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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 (CFO)
(616) 486-2253
Entity
Organization

Contact information

Practice address
2855 MICHIGAN ST NE, SUITE 200, GRAND RAPIDS, MI 49506-1221
(616) 957-4090
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
07/07/2010
Last updated
07/07/2010
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