Organization
SPECTRUM HEALTH HOME MEDICAL EQUIPMENT LLC
Active
Other names
Spectrum Health Orthotics and Prosthetics Services
Organization subpart
No
Provider details
NPI number
Authorized official
MARK GUZICKI (VP HOME AND COMMUNITY BASED SVCS)
(616) 486-3955
Entity
Organization
Contact information
Practice address
1255 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2001
(616) 486-2950
Mailing address
1255 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2001
(616) 486-2950
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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