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
LEISA KIMBROUGH (SENIOR DIRECTOR REVENUE CYCLE)
(616) 486-6579
Entity
Organization
Contact information
Practice address
426 MICHIGAN ST NE, SUITE 102, GRAND RAPIDS, MI 49503-5609
(616) 267-7888
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
Primary
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Enumeration date
10/07/2010
Last updated
10/31/2023
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