Organization · Type 2 NPI
Spectrum Health Primary Care Partners
Vascular Surgery Physician · Grand Rapids, MI
NPI number
1174835102
Active
Practice location
4085 Burton St SE, Suite 312
Grand Rapids, MI 49546-2444
Mailing address
100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgery Physician | 208600000X | None listed |
| Surgical Critical Care Physician | 2086S0102X | None listed |
| Vascular Surgery Physician Primary | 2086S0129X | None listed |
Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
3 other providers at this address
Other vascular surgery physician providers in Grand Rapids
- Michigan Medical Patient CareVascular Surgery Physician Grand Rapids, MI NPI 1306018528
- Spectrum Health Primary Care PartnersVascular Surgery Physician Grand Rapids, MI NPI 1356653380
- Decatur Vein Clinic, Michigan, PCVascular Surgery Physician Grand Rapids, MI NPI 1427050046
- Michigan Medical PCVascular Surgery Physician Grand Rapids, MI NPI 1700052230
About NPI 1174835102
Spectrum Health Primary Care Partners's National Provider Identifier is 1174835102, issued on Jul 7, 2010. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 7, 2010.