Spectrum Health Kelsey

NPI #1144534520 in Lakeview, Michigan

Provider Information

NPI Number: 1144534520
Entity Type: Organization
Organization Name: Spectrum Health Kelsey
Subpart: Yes (part of a larger organization)
Parent Organization: SPECTRUM HEALTH KELSEY
Primary Specialty: Hospitalist
Enumeration Date: Jul 28, 2010
Last Updated: Jul 6, 2016

Practice Location

Address: 418 WASHINGTON ST
City: Lakeview
State: Michigan
ZIP Code: 48850-9806
Phone: (989) 352-6474

Authorized Official

Name: RYAN JOHNSON
Title: CONTROLLER
Phone: (616) 225-6310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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