| Spectrum Health Maternal Infant Health | |
|
665 Seward Ave Nw Grand Rapids MI 49504-5190 | |
| (616) 391-6135 | |
| Not Available |
| Full Name | Spectrum Health Maternal Infant Health |
|---|---|
| Speciality | Pediatrics |
| Location | 665 Seward Ave Nw, Grand Rapids, Michigan |
| Authorized Official Name and Position | Christina Freese-decker (PRESIDENT) |
| Authorized Official Contact | 6163912099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Maternal Infant Health 100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: (616) 486-6790 | Spectrum Health Maternal Infant Health 665 Seward Ave Nw Grand Rapids MI 49504-5190 Ph: (616) 391-6135 |
| NPI Number | 1255715819 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 03/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255715819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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