Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other names
Corewell Health Medical Group West
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
BRADLEY L SHER (DIRECTOR OF PAYER RELATIONS/REIMBUR)
(616) 486-6705
Entity
Organization
Contact information
Practice address
35 MICHIGAN NE, GRAND RAPIDS, MI 49503
(616) 267-2400
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
207XP3100X
Pediatric Orthopaedic Surgery Physician
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
2080P0206X
Pediatric Gastroenterology Physician
Primary
—
—
2080P0208X
Pediatric Infectious Diseases Physician
—
—
2080P0210X
Pediatric Nephrology Physician
—
—
2080P0214X
Pediatric Pulmonology Physician
—
—
2080P0216X
Pediatric Rheumatology Physician
—
—
2080S0012X
Pediatric Sleep Medicine Physician
—
—
Other
Enumeration date
08/04/2011
Last updated
10/31/2023
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