Spectrum Health Primary Care Partners

NPI #1609180389 in Grand Rapids, Michigan

Provider Information

NPI Number: 1609180389
Entity Type: Organization
Organization Name: Spectrum Health Primary Care Partners
Subpart: Yes (part of a larger organization)
Parent Organization: SPECTRUM HEALTH PRIMARY CARE PARTNERS
Primary Specialty: Ophthalmology
Enumeration Date: Aug 5, 2010
Last Updated: Dec 2, 2010

Practice Location

Address: 330 BARCLAY AVE NE
Address 2: SUITE 104
City: Grand Rapids
State: Michigan
ZIP Code: 49503-2556
Phone: (616) 391-7948

Authorized Official

Name: PAULINE KRYWANSKI
Title: SVP
Phone: (616) 486-2253

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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