# SPECTRUM HEALTH PRIMARY CARE PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Other names:** Corewell Health Medical Group West
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1356653380
- **Legal business name:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Authorized official:** ADRIENNE BRYAN (DIRECTOR)
- **Authorized official phone:** (616) 643-9123

## Contact information

- **Practice address:** 4069 LAKE DR SE, GRAND RAPIDS, MI 49546-8816
- **Practice address phone:** (616) 267-8700
- **Mailing address:** 100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 207RG0100X | Gastroenterology Physician | — | NULL | — |
| 207RG0100X | Gastroenterology Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | — | NULL | — |
| 208C00000X | Colon & Rectal Surgery Physician | — | — | — |
| 231H00000X | Audiologist | — | NULL | — |
| 231H00000X | Audiologist | — | — | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | NULL | — |
| 237600000X | Audiologist-Hearing Aid Fitter | — | — | — |

## Other

- **Enumeration date:** 07/07/2010
- **Last updated:** 10/31/2023