Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Pediatric Orthopaedic Surgery Physician · Grand Rapids, MI

NPI number 1760792808 Active

Practice location

1425 Michigan St NE
Grand Rapids, MI 49503-2027

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Pediatric Orthopaedic Surgery Physician Primary 207XP3100XNone listed
Urology Physician 208800000XNone listed

Pediatric Orthopaedic Surgery Physician: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

3 other providers at this address

About NPI 1760792808

Spectrum Health Primary Care Partners's National Provider Identifier is 1760792808, issued on Oct 7, 2010. The primary taxonomy on file is Pediatric Orthopaedic Surgery Physician (207XP3100X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 27, 2023.