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

Spectrum Health Primary Care Partners

Organization Family Medicine Physician · NPI 1457096638

Spectrum Health Primary Care Partners is a Family Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2

Practice location Address checks out

4069 Lake Dr SE
Grand Rapids, MI 49546-8816
Phone: (616) 267-7469
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1457096638
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Leslie Flake — Svp Finance · (616) 391-2525
Other names Corewell Health Medical Group West On Demand; Spectrum Health Medical Group
NPI enumeratedMay 2, 2022
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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