Organization
SPECTRUM HEALTH KELSEY HOSP
Active
Parent organization
SPECTRUM HEALTH KELSEY HOSP
Other names
Spectrum Health Kesley Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH KELSEY HOSP
Authorized official
RYAN JOHNSON (VP - FINANCE)
(616) 225-6310
Entity
Organization
Contact information
Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-7102
(616) 225-6838
Mailing address
6501 CITY WEST PKWY, EDEN PRAIRIE, MN 55344-3248
(952) 653-2525
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/06/2015
Last updated
12/16/2015
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