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
DAVID OTTENBAKER MD (ASSOCIATE CHIEF MEDICAL OFFICER)
(616) 486-6686
Entity
Organization
Contact information
Practice address
6201 68TH ST SE, CALEDONIA, MI 49316
(231) 291-8020
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
10/31/2023
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