| Spectrum Health Medical Group | |
|
2900 Bradford St Ne Grand Rapids MI 49525-6427 | |
| (616) 276-7060 | |
| Not Available |
| Full Name | Spectrum Health Medical Group |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 2900 Bradford St Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Pauline 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 Mc 845 Grand Rapids MI 49503-2560 Ph: (616) 486-6790 | Spectrum Health Medical Group 2900 Bradford St Ne Grand Rapids MI 49525-6427 Ph: (616) 276-7060 |
| NPI Number | 1801219993 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801219993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
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