Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Other names
Spectrum Health Medical Group, Corewell Health Medical Group West
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY CHARLES CAVE (DIRECTOR)
(616) 486-6715
Entity
Organization
Contact information
Practice address
725 BALDWIN ST, JENISON, MI 49428-7945
(616) 457-2770
(616) 457-7899
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
05/03/2019
Last updated
10/31/2023
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