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 (SVP FINANCE)
(616) 486-2253
Entity
Organization
Contact information
Practice address
100 MICHIGAN ST NE, SUITE 8830, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
2086S0102X
Surgical Critical Care Physician
—
—
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/26/2023
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