Organization · Type 2 NPI

Spectrum Health Hospitals

Pediatrics Physician · Grand Rapids, MI

NPI number 1255715819 Active

Practice location

665 Seward Ave NW
Grand Rapids, MI 49504-5190

Call (616) 391-6135 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Pediatrics Physician Primary	208000000X	None listed

Pediatrics Physician: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on de…

9 other providers at this address

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NPI record

NPI: 1255715819
Entity type: Organization (Type 2)
Issued: Jul 14, 2015
Last updated: Mar 10, 2016
Status: Active
Subpart: Yes of Spectrum Health Hospitals

Other names

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Spectrum Health Maternal Infant Health · other name

Authorized official

Christina Freese-Decker
President
(616) 391-2099

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255715819

Spectrum Health Hospitals's National Provider Identifier is 1255715819, issued on Jul 14, 2015. The primary taxonomy on file is Pediatrics Physician (208000000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 10, 2016.