Spectrum Health Primary Care Partners

NPI #1457850802 in Hudsonville, Michigan

Provider Information

NPI Number: 1457850802
Entity Type: Organization
Organization Name: Spectrum Health Primary Care Partners
Subpart: Yes (part of a larger organization)
Parent Organization: SPECTRUM HEALTH PRIMARY CARE PARTNERS
Primary Specialty: Family Medicine
Enumeration Date: Feb 12, 2018
Last Updated: Feb 12, 2018

Practice Location

Address: 4075 32ND AVE
City: Hudsonville
State: Michigan
ZIP Code: 49426
Phone: (616) 486-6100

Authorized Official

Name: DAVID OTTENBAKER, MD
Title: ASSOCIATE CHEIF MEDICAL OFFICER
Phone: (616) 486-6686

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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