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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1922582196


NPI Information

NPI: 1922582196
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: SPECTRUM HEALTH MEDICAL GROUP

Classification: Pediatrics - 2080P0008X
Entity Type: Organization

Specialization: Neurodevelopmental Disabilities

Address:
360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 486-6870
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is a neurodevelopmental disabilities pediatrics in Grand Rapids, MI. The provider is a pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1922582196. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Spectrum Health Medical Group.

The provider's business location address is:

360 LAFAYETTE AVE SE STE 400
GRAND RAPIDS, MI
ZIP 49503-677
Phone: (616) 486-6870

The provider's authorized official is Ryan Catignani .
The authorized official title is Vp Finance and has the following contact phone number (947) 522-0008.

The enumeration date for this NPI number is 9/24/2018 and was last updated on 10/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0008XPediatricsNeurodevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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