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
PAULINE KRYWANSKI (SVP FINANCE)
(616) 486-2253
Entity
Organization
Contact information
Practice address
345 N DIVISION RD, PETOSKEY, MI 49770-9416
(616) 391-3933
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
07/14/2015
Last updated
10/31/2023
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