Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Other names
Corewell Health Medical Group West
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH LACEY (CREDENTIALING MANAGER)
(616) 486-6630
Entity
Organization
Contact information
Practice address
840 COOK RD, HASTINGS, MI 49058-9616
(616) 267-7104
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
10/31/2023
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