Spectrum Health United | |
7188 Avenue B Vestaburg MI 48891-9502 | |
(616) 754-6185 | |
Not Available |
Full Name | Spectrum Health United |
---|---|
Speciality | Social Worker |
Location | 7188 Avenue B, Vestaburg, Michigan |
Authorized Official Name and Position | Elisabeth Lacey (CREDENTIALING MGR) |
Authorized Official Contact | 6164866630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Spectrum Health United 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: () - | Spectrum Health United 7188 Avenue B Vestaburg MI 48891-9502 Ph: (616) 754-6185 |
NPI Number | 1336765445 |
---|---|
Provider Enumeration Date | 06/24/2020 |
Last Update Date | 06/24/2020 |
Certification Date | 06/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336765445 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |