SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1861912537

NPI Information

  • NPI: 1861912537
  • Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: SPECTRUM HEALTH MEDICAL GROUP FAMILY MEDICINE - CALEDONIA
  • Address: 9090 S RODGERS CT SE STE A
    CALEDONIA, MI
    ZIP 49316
  • Phone: (616) 891-0422

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NPI Details

SPECTRUM HEALTH PRIMARY CARE PARTNERS is a family medicine in Caledonia, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1861912537. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spectrum Health Medical Group Family Medicine - Caledonia.

The provider's business location address is:

9090 S RODGERS CT SE STE A
CALEDONIA, MI
ZIP 49316-052
Phone: (616) 891-0422
Fax: (616) 891-0416

The provider's authorized official is David Ottenbaker .
The authorized official title is Associate Chief Medical Officer - R and has the following contact phone number (616) 486-6686.

The enumeration date for this NPI number is 6/23/2017 and was last updated on 10/31/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerNo
2207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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