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
4500 BRETON RD SE, GRAND RAPIDS, MI 49508-5290
(616) 391-4200
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
—
—
2084N0400X
Neurology Physician
—
—
Other
Enumeration date
07/07/2010
Last updated
10/31/2023
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