| Spectrum Health Medical Group | |
|
4069 Lake Dr Se Grand Rapids MI 49546-8816 | |
| (616) 267-7469 | |
| Not Available |
| Full Name | Spectrum Health Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4069 Lake Dr Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Leslie Flake (SVP FINANCE) |
| Authorized Official Contact | 6163912525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Medical Group 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: () - | Spectrum Health Medical Group 4069 Lake Dr Se Grand Rapids MI 49546-8816 Ph: (616) 267-7469 |
| NPI Number | 1457096638 |
|---|---|
| Provider Enumeration Date | 05/02/2022 |
| Last Update Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457096638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
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