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 (CFO)
(616) 486-2253
Entity
Organization
Contact information
Practice address
1100 E PARIS AVE SE, GRAND RAPIDS, MI 49546-8367
(616) 391-3315
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/05/2010
Last updated
10/27/2023
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