Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Other names
Corewell Health Medical Group West
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Authorized official
POLLY KRYWANSKI (SVP, FINANCE)
(616) 486-2253
Entity
Organization
Contact information
Practice address
418 WASHINGTON ST, LAKEVIEW, MI 48850-9806
(989) 352-8452
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6795
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
10/31/2023
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