# SPECTRUM HEALTH PRIMARY CARE PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1346581600
- **Legal business name:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Authorized official:** RYAN JOHNSON (VP FINANCE)
- **Authorized official phone:** (616) 225-6310

## Contact information

- **Practice address:** 418 WASHINGTON ST, LAKEVIEW, MI 48850-7102
- **Practice address phone:** (616) 754-2944
- **Mailing address:** 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/12/2013
- **Last updated:** 03/12/2013