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 (PAULINE) KRYWANSKI (SVP - FINANCE)
(616) 486-2253
Entity
Organization
Contact information
Practice address
1179 E PARIS AVE SE, STE. 220, GRAND RAPIDS, MI 49546-8371
(616) 454-2004
(616) 454-0061
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
—
Other
Enumeration date
10/12/2011
Last updated
10/27/2023
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