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

Spectrum Health Primary Care Partners

Organization Family Medicine Physician · NPI 1740810563

Spectrum Health Primary Care Partners is a Family Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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Practice location Address checks out

435 Ionia Ave SW
Grand Rapids, MI 49503-5161
Phone: (616) 486-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preventive Medicine/Occupational Environmental Medicine Physician (primary) Taxonomy 2083P0500X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1740810563
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Elisabeth Lacey — Manager · (616) 486-6630
Other names Corewell Health Medical Group West; Spectrum Health Medical Group
NPI enumeratedJanuary 21, 2020
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560

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