Pediatrics, Pediatric Cardiology
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1215416961 · enumerated 2018-08-13 · record updated 2023-10-31. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: ELISABETH LACEY, Manager · (616) 486-6630
Other names: SPECTRUM HEALTH MEDICAL GROUP, COREWELL HEALTH MEDICAL GROUP WEST
Addresses and phones
- Practice location 802 W KING ST, OWOSSO, MI, 48867-2100 (517) 484-0004 Google Maps Apple Maps OpenStreetMap
- Mailing address 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI, 49503-2560 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology, Pediatric Dermatology 207NP0225X
- Orthopaedic Surgery, Pediatric Orthopaedic Surgery 207XP3100X
- Pediatrics 208000000X
- Pediatrics, Pediatric Cardiology 2080P0202X · Primary
In this directory
MI Shiawassee County Owosso Pediatrics, Pediatric Cardiology
Locations and evidence
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Practice location
OWOSSO, MI, 488672100
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.