| Spectrum Health Primary Care Partner | |
|
4380 52nd St Se Kentwood MI 49512-9673 | |
| (616) 486-6790 | |
| Not Available |
| Full Name | Spectrum Health Primary Care Partner |
|---|---|
| Speciality | Physical Therapist |
| Location | 4380 52nd St Se, Kentwood, Michigan |
| Authorized Official Name and Position | Ryan Catignani (VP PROVIDER SERVICES) |
| Authorized Official Contact | 9475220008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Primary Care Partner 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: (616) 486-6790 | Spectrum Health Primary Care Partner 4380 52nd St Se Kentwood MI 49512-9673 Ph: (616) 486-6790 |
| NPI Number | 1518781400 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518781400 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
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