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Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Other names
Corewell Health Medical Group West, Spectrum Health Medical Group
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH LACEY (CREDENTIALING MANAGER)
(616) 486-6630
Entity
Organization
Contact information
Practice address
3195 KNIGHT WAY SE, GRAND RAPIDS, MI 49546-4406
(616) 391-7849
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
10/30/2023
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