# SPECTRUM HEALTH PRIMARY CARE PARTNERS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Corewell Health Medical Group West, Spectrum Health Medical Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558776286
- **Authorized official:** PAULINE KRYWANSKI (SVP FINANCE)
- **Authorized official phone:** (616) 486-2253

## Contact information

- **Practice address:** 602 MICHIGAN AVE, HOLLAND, MI 49423-4918
- **Practice address phone:** (616) 267-8700
- **Mailing address:** 100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/20/2014
- **Last updated:** 10/31/2023