| Spectrum Health Medical Group Family Medicine - Caledonia | |
|
9090 S Rodgers Ct Se Ste A Caledonia MI 49316-8052 | |
| (616) 891-0422 | |
| (616) 891-0416 |
| Full Name | Spectrum Health Medical Group Family Medicine - Caledonia |
|---|---|
| Speciality | Family Medicine |
| Location | 9090 S Rodgers Ct Se Ste A, Caledonia, Michigan |
| Authorized Official Name and Position | David Ottenbaker (ASSOCIATE CHIEF MEDICAL OFFICER - R) |
| Authorized Official Contact | 6164866686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Health Medical Group Family Medicine - Caledonia 100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: (616) 486-6790 | Spectrum Health Medical Group Family Medicine - Caledonia 9090 S Rodgers Ct Se Ste A Caledonia MI 49316-8052 Ph: (616) 891-0422 |
| NPI Number | 1861912537 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861912537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
Careatc - Caledonia Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7105 Broadmoor Ave Se, Caledonia, MI 49316 Phone: 616-604-4104 | |
Spectrum Health Pennock Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9090 S Rodgers Ct Se, Caledonia, MI 49316 Phone: 616-891-0422 | |
Mercy Health Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7105 Broadmoor Ave Se, Caledonia, MI 49316 Phone: 616-685-7900 Fax: 616-685-7909 | |
Van Ryn Therapies Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7101 Broadmoor Ave Se, Caledonia, MI 49316 Phone: 616-970-2176 | |
Careatc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7105 Broadmoor Ave Se, Caledonia, MI 49316 Phone: 800-993-8244 | |
Battiste Family Medicine Plc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7125 Kraft Ave Se, Suite A, Caledonia, MI 49316 Phone: 616-583-0958 Fax: 616-583-0961 |