MEDICARE: FAMILY HEALTH PARTNERS PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	302F00000X	Exclusive Provider Organization	5101009470	MI
2	207Q00000X	Family Medicine Physician	5101009470	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	080D121980	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1316053218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAMILY HEALTH PARTNERS PC

Provider Business Mailing Address
First Line	:	2335 BURTON ST SE STE 130
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49506-4630
Country	:	US
Telephone Number	:	616-956-9400
Fax Number	:

Provider Business Practice Location Address
First Line	:	2335 BURTON ST SE STE 130
Second Line	:
City	:	GRAND RAPIDS
State	:	MI
Zip	:	49506-4630
Country	:	US
Telephone Number	:	616-956-9400
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. MICHAEL SEPTER
Credential	:	DO
Telephone Number	:	616-956-9400

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	08/13/2025

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