Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spectrum Health Hospitals

Organization Internal Medicine Physician · NPI 1477139756

Spectrum Health Hospitals is an Internal Medicine Physician in Fremont, Michigan. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3

Practice location Address checks out

230 W Oak St
Fremont, MI 49412-1526
Phone: (616) 267-9823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Surgery Physician Taxonomy 208600000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1477139756
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elisabeth Lacey — Credentialing Manager · (616) 486-6630
NPI enumeratedMarch 18, 2021
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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