# SPECTRUM HEALTH PRIMARY CARE PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Other names:** Corewell Health Medical Group West
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1376905554
- **Legal business name:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Authorized official:** PAULINE KRYWANSKI (SVP FINANCE)
- **Authorized official phone:** (616) 486-2253

## Contact information

- **Practice address:** 1000 OAKLAND DR, KALAMAZOO, MI 49008-1282
- **Practice address phone:** (616) 267-2400
- **Mailing address:** 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080P0210X | Pediatric Nephrology Physician | — | NULL | Yes |
| 2080P0210X | Pediatric Nephrology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/25/2016
- **Last updated:** 10/27/2023
