Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Pediatric Neurodevelopmental Disabilities Physician · Grand Rapids, MI

NPI number 1922582196 Active

Practice location

360 Lafayette Ave SE Ste 400
Grand Rapids, MI 49503-4677

Call (616) 486-6870 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pediatric Neurodevelopmental Disabilities Physician Primary	2080P0008X	None listed

Pediatric Neurodevelopmental Disabilities Physician: A pediatrician who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

7 other providers at this address

Other pediatric neurodevelopmental disabilities physician providers in Grand Rapids

Spectrum Health Primary Care PartnersPediatric Neurodevelopmental Disabilities Physician Grand Rapids, MI NPI 1578860912

See all in Grand Rapids →

NPI record

NPI: 1922582196
Entity type: Organization (Type 2)
Issued: Sep 24, 2018
Last updated: Oct 26, 2023
Status: Active
Subpart: Yes of Spectrum Health Primary Care Partners

Other names

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Corewell Health Medical Group West Intensive Feeding · doing business as
Spectrum Health Medical Group · doing business as
Spectrum Health Medical Group · doing business as

Authorized official

Ryan Catignani
VP Finance
(947) 522-0008

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922582196

Spectrum Health Primary Care Partners's National Provider Identifier is 1922582196, issued on Sep 24, 2018. The primary taxonomy on file is Pediatric Neurodevelopmental Disabilities Physician (2080P0008X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 26, 2023.