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
LEISA KIMBROUGH (SENIOR DIRECTOR)
(616) 486-6579
Entity
Organization
Contact information
Practice address
7985 MACKINAW TRL, CADILLAC, MI 49601-8111
(616) 391-3681
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
Other
Enumeration date
02/02/2018
Last updated
10/31/2023
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