# 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, Spectrum Health Medical Group
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1669854816
- **Legal business name:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Authorized official:** PAULINE KRYWANSKI (SVP FINANCE)
- **Authorized official phone:** (616) 486-2253

## Contact information

- **Practice address:** 4249 PARKWAY PLACE DR SW, GRANDVILLE, MI 49418-2679
- **Practice address phone:** (616) 774-7035
- **Mailing address:** 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
- **Mailing address phone:** (616) 486-6790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 06/24/2015
- **Last updated:** 10/31/2023