Spectrum Health United

NPI #1336765445 in Vestaburg, Michigan

Provider Information

NPI Number: 1336765445
Entity Type: Organization
Organization Name: Spectrum Health United
Subpart: Yes (part of a larger organization)
Parent Organization: SPECTRUM HEALTH UNITED
Primary Specialty: Social Worker
Enumeration Date: Jun 24, 2020
Last Updated: Jun 24, 2020

Practice Location

Address: 7188 AVENUE B
City: Vestaburg
State: Michigan
ZIP Code: 48891-9502
Phone: (616) 754-6185

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Nurse Practitioner	363L00000X
Social Worker	104100000X	Primary

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