SPECTRUM HEALTH PRIMARY CARE PARTNERS - NPI 1629380647

Q: What is the provider's specialty?

The provider's specialty is Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.

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About Spectrum Health Primary Care Partners NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPECTRUM HEALTH PRIMARY CARE PARTNERS (NPI 1629380647) is a healthcare organization registered as a body imaging in Allendale, Michigan and active in the NPI registry since July 2010. The organization lists Pauline Krywanski, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629380647

Entity TypeOrganization

Primary Taxonomy2085B0100X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address4868 LAKE MICHIGAN DR, SUITE BAllendale, MI 49401-8434

Mailing Address100 Michigan St Ne, Mc845Grand Rapids, MI 49503-2560

Phone(616) 391-7777

Organization SubpartYes

Authorized OfficialPauline KrywanskiCfo · (616) 486-2253

Enumeration DateJuly 7, 2010

✔ NPI 1629380647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians

Taxonomy Code2085B0100X

Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.

4868 LAKE MICHIGAN DR, Allendale, MI 49401

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP