Spectrum Health Hospitals

NPI #1699058206 in Grand Rapids, Michigan

Provider Information

NPI Number: 1699058206
Entity Type: Organization
Organization Name: Spectrum Health Hospitals
Subpart: Yes (part of a larger organization)
Parent Organization: SPECTRUM HEALTH HOSPITALS
Primary Specialty: Nutritionist
Enumeration Date: Sep 21, 2011
Last Updated: Sep 21, 2011

Practice Location

Address: 751 LAFAYETTE AVE NE
City: Grand Rapids
State: Michigan
ZIP Code: 49503-1628
Phone: (616) 391-6144

Authorized Official

Name: PAULINE KRYWANSKI
Title: SVP
Phone: (616) 486-2553

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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