# 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 Bariatrics and Weight Loss
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720397441
- **Legal business name:** SPECTRUM HEALTH PRIMARY CARE PARTNERS
- **Authorized official:** PAULINE KRYWANSKI (SVP)
- **Authorized official phone:** (616) 486-2253

## Contact information

- **Practice address:** 4100 LAKE DR SE, SUITE B01, GRAND RAPIDS, MI 49546-8292
- **Practice address phone:** (616) 974-4400
- **Mailing address:** 100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133V00000X | Registered Dietitian | — | — | — |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 09/29/2010
- **Last updated:** 10/26/2023