| NPI | 1346480258 |
|---|---|
| Doing Business As | SPECTRUM HEALTH MEDICAL GROUP CNP |
| Entity Type | Organization |
| Authorized Contact | TUCCI JAMES President 616-391-2062 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |