Organization · Type 2 NPI

Spectrum Health

Ambulatory Surgical Clinic/Center · Grand Rapids, MI

NPI number 1811983000 Active

Practice location

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

Call (616) 285-1120 Map

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Ambulatory Surgical Clinic/Center Primary 261QA1903X416835 (MI)
Durable Medical Equipment & Medical Supplies 332B00000XNone listed

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About NPI 1811983000

Spectrum Health's National Provider Identifier is 1811983000, 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 Jul 29, 2014.