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
230 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2550
(616) 391-3966
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207NP0225X
Pediatric Dermatology Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
2080P0205X
Pediatric Endocrinology Physician
—
—
208200000X
Plastic Surgery Physician
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
10/07/2010
Last updated
10/30/2023
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