Organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Active
Parent organization
SPECTRUM HEALTH PRIMARY CARE PARTNERS
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
3290 N WELLNESS DR, STE. 150, HOLLAND, MI 49424-7259
(616) 994-6677
(616) 994-6683
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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