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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 (SVP, FINANCE)
(616) 486-2253
Entity
Organization

Contact information

Practice address
665 SEWARD AVE NW, 1ST FLOOR, GRAND RAPIDS, MI 49504-5190
(616) 486-6790
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
10/18/2013
Last updated
10/18/2013
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