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Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other names
Corewell Health Medical Group West, Spectrum Health Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
ELISABETH LACEY (CREDENTIALING MANAGER)
(616) 486-6630
Entity
Organization
Contact information
Practice address
475 W SPARTAN DR, SPARTA, MI 49345-8734
(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
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
08/09/2021
Last updated
10/31/2023
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