Organization · Type 2 NPI

Spectrum Health Hospitals

Ambulatory Surgical Clinic/Center · Grand Rapids, MI

NPI number 1407313802 Active

Practice location

4069 Lake Dr SE Ste 210
Grand Rapids, MI 49546-8816

Mailing address

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

Other practice locations

  • 80 68th St SE, Grand Rapids, MI 49548-6980 · (616) 391-8260

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903XNone listed

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

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About NPI 1407313802

Spectrum Health Hospitals's National Provider Identifier is 1407313802, issued on Feb 22, 2019. 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 Feb 22, 2019.