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

Spectrum Health Primary Care Partners

Organization Internal Medicine Physician · NPI 1033774054

Spectrum Health Primary Care Partners is an Internal Medicine Physician in Jenison, Michigan. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
3

Practice location Address checks out

1725 Port Sheldon St
Jenison, MI 49428-9002
Phone: (616) 267-7668
Fax: (616) 667-1722
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Internal Medicine Physician Taxonomy 207R00000X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X

Record details

NPI number1033774054
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Leslie Flake — Svp Finance · (616) 486-6545
Other names Corewell Health Medical Group West; Spectrum Health Medical Group; Spectrum Health Medical Group
NPI enumeratedMay 6, 2019
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

Other providers in Jenison