Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Vascular Surgery Physician · Grand Rapids, MI

NPI number 1356653380 Active

Practice location

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

Call (616) 267-8700 Map

Mailing address

100 Michigan St NE, MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician 207K00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Gastroenterology Physician 207RG0100XNone listed
Surgery Physician 208600000XNone listed
Vascular Surgery Physician Primary 2086S0129XNone listed
Colon & Rectal Surgery Physician 208C00000XNone listed
Audiologist 231H00000XNone listed
Audiologist-Hearing Aid Fitter 237600000XNone 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.

77 other providers at this address

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About NPI 1356653380

Spectrum Health Primary Care Partners's National Provider Identifier is 1356653380, 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 Oct 31, 2023.