Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
WELLSPRING PHYSICIAN, PC - MI
Active
Organization
WELLSPRING PHYSICIAN, PC - MI
Active
Other names
Wellspring Physician, P.C. (MI)
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN J SOWERWINE MD (CMO)
(979) 221-1398
Entity
Organization
Contact information
Practice address
3410 BELLE CHASE WAY STE 600, LANSING, MI 48911-4274
(877) 872-0370
(855) 908-2520
Mailing address
4359 ROANS CHAPEL RD, COLLEGE STATION, TX 77845-4096
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
02/13/2017
Last updated
07/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up