Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other names
Spectrum Health Medical Group, Corewell Health Medical Group West
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
ELISABETH LACEY (MANAGER)
(616) 486-6630
Entity
Organization
Contact information
Practice address
802 W KING ST, OWOSSO, MI 48867-2100
(517) 484-0004
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
208000000X
Pediatrics Physician
—
—
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
10/31/2023
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