| Spectrum Health Medical Group | |
|
2111 12 Mile Rd Nw Sparta MI 49345-9754 | |
| (616) 391-8470 | |
| Not Available |
| Full Name | Spectrum Health Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 2111 12 Mile Rd Nw, Sparta, Michigan |
| Authorized Official Name and Position | Bradley L Sher (EX. DIRECTOR OF REVENUE) |
| Authorized Official Contact | 6164866705 |
| 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: () - | Spectrum Health Medical Group 2111 12 Mile Rd Nw Sparta MI 49345-9754 Ph: (616) 391-8470 |
| NPI Number | 1982920286 |
|---|---|
| Provider Enumeration Date | 04/12/2010 |
| Last Update Date | 04/12/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982920286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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