Organization
SPECTRUM HEALTH SLEEP DISORDERS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DE METRIA M CLARK RPSGT (CARE MANAGEMENT COORDINATOR)
(616) 391-3759
Entity
Organization
Contact information
Practice address
4100 LAKE DR SE, SUITE 100, GRAND RAPIDS, MI 49546-8292
(616) 391-3759
(616) 267-8232
Mailing address
4100 LAKE DR SE, SUITE 100, GRAND RAPIDS, MI 49546-8292
(616) 391-3759
(616) 267-8232
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
15206
MI
Other
Enumeration date
09/25/2012
Last updated
09/25/2012
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