OrganizationActive
Spectrum Health Primary Care Partners
NPI 1992204135 · Maternal & Fetal Medicine Physician · Cadillac, MI
Provider details
- NPI number
- 1992204135
- Entity type
- Organization
- Primary specialty
- Maternal & Fetal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spectrum Health Primary Care Partners
- Organization subpart
- Yes
- Authorized official
- Leisa Kimbrough, Senior Director(616) 486-6579
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatric Endocrinology Physician2080P0205X
Allopathic & Osteopathic Physicians
Practice location
7985 Mackinaw Trl
Cadillac, MI 49601-8111
Phone: (616) 391-3681
Approximate (ZIP-level) locationGet directions
Mailing address
100 Michigan St Ne # Mc845
Grand Rapids, MI 49503-2560
Other names (DBA / former)
- Doing business as
- Corewell Health Medical Group West
- Doing business as
- Spectrum Health Medical Group
- Doing business as
- Spectrum Health Medical Group
Registry dates
- Enumerated
- 2018-02-02
- Last updated
- 2023-10-31
- Certified
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.