Organization · Type 2 NPI

Spectrum Health Hospitals

Ambulatory Surgical Clinic/Center · Grand Rapids, MI

NPI number 1366438632 Active

Practice location

4100 Lake Dr SE
Grand Rapids, MI 49546-8292

Call (616) 391-7580 Map

Mailing address

100 Michigan St NE, Mc 406
Grand Rapids, MI 49503-2560

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X416830 (MI)

Ambulatory Surgical Clinic/Center: Definition to come...

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About NPI 1366438632

Spectrum Health Hospitals's National Provider Identifier is 1366438632, issued on Sep 22, 2005. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 21, 2014.