Healthcare Provider Details
I. General information
NPI: 1316053218
Provider Name (Legal Business Name): FAMILY HEALTH PARTNERS PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2006
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2335 BURTON ST SE STE 130
GRAND RAPIDS MI
49506-4630
US
IV. Provider business mailing address
2335 BURTON ST SE STE 130
GRAND RAPIDS MI
49506-4630
US
V. Phone/Fax
- Phone: 616-956-9400
- Fax:
- Phone: 616-956-9400
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 302F00000X |
| Taxonomy | Exclusive Provider Organization |
| License Number | 5101009470 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 5101009470 |
| License Number State | MI |
VIII. Authorized Official
Name: DR.
MICHAEL
SEPTER
Title or Position: PRESIDENT
Credential: DO
Phone: 616-956-9400