Spectrum Health Primary Care Partners
Organization Active NPI Obstetrics & Gynecology Physician · Lakeview, MI
NPI 1346581600 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1346581600
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- Legal business name
- SPECTRUM HEALTH PRIMARY CARE PARTNERS
- Practice address
- 418 Washington St
Lakeview, MI 48850-7102 - Phone
- (616) 754-2944
- NPI assigned
- Mar 12, 2013
- Organization subpart
- Yes
- Parent organization (as reported)
- SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
- Name
- Ryan Johnson
- Title
- VP Finance
- Phone
- (616) 225-6310
Corporate family (same tax ID) 39
National Provider Directory
- Tax ID family
- United Memorial Hosp
- Part of
- United Memorial Hosp
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician |
207V00000X | Yes |
Addresses
Primary practice location
418 Washington St
Lakeview, MI 48850-7102
Mailing address
100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Other providers in Lakeview, MI
- Spectrum Health Kelsey
- Spectrum Health Kelsey Hosp
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health Primary Care Partners
- Spectrum Health United
- Spectrum Health United
- Spectrum Health United
- Spectrum Health United
- Spectrum Health United
All providers in Lakeview, MI · Obstetrics & Gynecology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.