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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
3950 HOLLYWOOD RD, SUITE 240, SAINT JOSEPH, MI 49085-9159
(616) 267-2500
(616) 267-2501
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
207XP3100X
Pediatric Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
2080P0202X
Pediatric Cardiology Physician
2080P0205X
Pediatric Endocrinology Physician
Primary
2080P0210X
Pediatric Nephrology Physician
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician

Other

Enumeration date
11/04/2011
Last updated
10/31/2023
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