Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Foot & Ankle Surgery Podiatrist · Grand Rapids, MI

NPI number 1386959856 Active

Practice location

4069 Lake Dr SE, Suite 315
Grand Rapids, MI 49546-8816

Call (616) 464-2810 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XNone listed

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1386959856

Spectrum Health Primary Care Partners's National Provider Identifier is 1386959856, issued on Aug 9, 2010. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Grand Rapids, MI. The record was last updated on Dec 2, 2010.