Spectrum Health Primary Care Partners

NPI #1861912537 in Caledonia, Michigan

Provider Information

NPI Number: 1861912537
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: Jun 23, 2017
Last Updated: Oct 31, 2023

Practice Location

Address: 9090 S RODGERS CT SE STE A
City: Caledonia
State: Michigan
ZIP Code: 49316-8052
Phone: (616) 891-0422

Authorized Official

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

Specialties & Taxonomy Codes

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

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