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
LESLIE FLAKE (SVP FINANCE)
(616) 486-6545
Entity
Organization
Contact information
Practice address
1725 PORT SHELDON ST, JENISON, MI 49428-9002
(616) 267-7668
(616) 667-1722
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
10/30/2023
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