Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Family Medicine Physician · Grand Rapids, MI

NPI number 1043938871 Active

Practice location

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

Call (616) 267-7105 Map

Mailing address

100 Michigan NE St MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: 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.

77 other providers at this address

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NPI record

NPI: 1043938871
Entity type: Organization (Type 2)
Issued: Aug 18, 2022
Last updated: Oct 26, 2023
Status: Active

Other names

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Corewell Health Medical Group West My Priority Virtual Primary Care · doing business as
Spectrum Health Medical Group · doing business as

Authorized official

Ryan Catignani
VP Finance
(947) 522-0008

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1043938871

Spectrum Health Primary Care Partners's National Provider Identifier is 1043938871, issued on Aug 18, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 26, 2023.