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Contact Information

SPECTRUM HEALTH PRIMARY CARE PARTNERS
4069 LAKE DIVE SE
SUITE 314
GRAND RAPIDS, MI49546
 Phone: 616-284-8870
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SPECTRUM HEALTH PRIMARY CARE PARTNERS · (Female)

NPI # 1619286663
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2010
Last updated 10/31/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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