Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other names
Spectrum Health Medical Group, Corewell Health Medical Group West Intensive Feeding
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
RYAN CATIGNANI (VP FINANCE)
(947) 522-0008
Entity
Organization
Contact information
Practice address
360 LAFAYETTE AVE SE STE 400, GRAND RAPIDS, MI 49503-4677
(616) 486-6870
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
09/24/2018
Last updated
10/26/2023
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