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Organization

SPECTRUM HEALTH HOSPITALS

Active
Parent organization
SPECTRUM HEALTH HOSPITALS
Organization subpart
Yes

Provider details

NPI number
Legal business name
SPECTRUM HEALTH HOSPITALS
Authorized official
PAULINE KRYWANSKI (SVP)
(616) 486-2553
Entity
Organization

Contact information

Practice address
751 LAFAYETTE AVE NE, GRAND RAPIDS, MI 49503-1628
(616) 391-6144
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary

Other

Enumeration date
09/21/2011
Last updated
09/21/2011
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