| Spectrum Health Medical Group | |
|
3322 E Beltline Ct Ne Grand Rapids MI 49525-9480 | |
| (616) 267-7104 | |
| (616) 267-7594 |
| Full Name | Spectrum Health Medical Group |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3322 E Beltline Ct Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Pauline (polly) Krywanski (SVP FINANCE) |
| Authorized Official Contact | 6164862253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Medical Group 100 Michigan St Ne Mc845 Grand Rapids MI 49503-2560 Ph: () - | Spectrum Health Medical Group 3322 E Beltline Ct Ne Grand Rapids MI 49525-9480 Ph: (616) 267-7104 |
| NPI Number | 1356640494 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 03/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356640494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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