Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Pediatric Adolescent Medicine Physician · Grand Rapids, MI

NPI number 1265732861 Active

Practice location

2355 Knapp St NE
Grand Rapids, MI 49505-4415

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000XNone listed

Pediatric Adolescent Medicine Physician: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

2 other providers at this address

About NPI 1265732861

Spectrum Health Primary Care Partners's National Provider Identifier is 1265732861, issued on Oct 28, 2010. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 30, 2023.