Spectrum Health United
Organization Active NPI Family Medicine Physician · Stanton, MI
NPI 1174265474 · NPPES record last updated Apr 8, 2022
Key facts
- NPI
- 1174265474
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- SPECTRUM HEALTH UNITED
- Practice address
- 1480 S Sheridan Rd
Stanton, MI 48888-8906 - Phone
- (616) 267-0785
- NPI assigned
- Apr 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Leslie Flake
- Title
- SVP Finance
- Phone
- (616) 391-2525
Corporate family (same tax ID) 39
National Provider Directory
- Tax ID family
- United Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker |
104100000X | |||
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
1480 S Sheridan Rd
Stanton, MI 48888-8906
Mailing address
100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Other providers in Stanton, MI
- Joel Edmond Sneed
- Gary Brian Snyder
- Rachel A Sowles
- Sparrow Carson Hospital
- Rose Marie Spear
- Spectrum Health United
- Andrea Spencer-Kemler
- Aliyah Danielle Spicer
- Robin Michael Sprague
- Shelly Springsteen
All providers in Stanton, MI · Family Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.