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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
POLLY KRYWANSKI (SVP OF FINANCE)
61648622553
Entity
Organization

Contact information

Practice address
145 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2562
(616) 486-6333
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790

Taxonomy

Speciality
Code
Description
License number
State
207XX0801X
Orthopaedic Trauma Physician
208600000X
Surgery Physician
Primary
2086X0206X
Surgical Oncology Physician

Other

Enumeration date
12/01/2010
Last updated
03/14/2015
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