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Wellspring Physician, PC - Mi

Family Medicine in Lansing, MI. Organization (NPI-2).

NPI number1174062012
StatusActive
Last updated in NPPESJul 28, 2026

Details

NPI
1174062012
Entity type
Organization (NPI-2)
Legal business name
Wellspring Physician, PC - Mi
Organization subpart
No
Enumeration date
Feb 13, 2017
Certification date
Jul 28, 2026
Last updated
Jul 28, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes
207K00000X Allergy & Immunology––
207P00000X Emergency Medicine––
207R00000X Internal Medicine––

Other names

  • Wellspring Physician, P.C. (Mi) (Other Name)

Practice location

3410 Belle Chase Way Ste 600
Lansing, MI 48911-4274

Phone 877-872-0370 · Fax 855-908-2520

Mailing address

4359 Roans Chapel Rd
College Station, TX 77845-4096

Other practice locations

309 N Washington Ave
Suite 13
Bryan, TX 77803-5368

Phone 979-431-5664

Authorized official

Kathryn J Sowerwine
Cmo
9792211398

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