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Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Other names
Spectrum Health Medical Group, Corewell Health Medical Group West
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH LACEY (MANAGER)
(616) 486-6630
Entity
Organization
Contact information
Practice address
4100 KROES ST NE, ROCKFORD, MI 49341-9295
(616) 754-6185
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
04/27/2021
Last updated
10/31/2023
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