Spectrum Health Hospital

NPI #1144808775 in Big Rapids, Michigan

Provider Information

NPI Number: 1144808775
Entity Type: Organization
Organization Name: Spectrum Health Hospital
Primary Specialty: Internal Medicine
Enumeration Date: Apr 2, 2021
Last Updated: Apr 2, 2021

Practice Location

Address: 705 OAK ST UNIT 1
City: Big Rapids
State: Michigan
ZIP Code: 49307-3109
Phone: (616) 267-9823

Authorized Official

Name: ELISABETH LACEY
Title: CREDENTIALING MANAGER
Phone: (616) 486-6630

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Internal Medicine	207R00000X	Primary

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