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 KRYWANSKI (SVP, FINANCE)
(616) 486-2253
Entity
Organization
Contact information
Practice address
700 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 365-2310
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6795
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
2080P0008X
Pediatric Neurodevelopmental Disabilities Physician
Primary
—
—
Other
Enumeration date
02/22/2011
Last updated
10/31/2023
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