Organization · Type 2 NPI

Spectrum Health Hospitals

Clinical Genetics (M.D.) Physician · Grand Rapids, MI

NPI number 1184934291 Active

Practice location

25 Michigan St NE, Suite 2000
Grand Rapids, MI 49503-2515

Call (616) 391-2700 Map

Mailing address

100 Michigan St NE, MC845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Clinical Genetics (M.D.) Physician Primary	207SG0201X	None listed

Clinical Genetics (M.D.) Physician: A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

72 other providers at this address

NPI record

NPI: 1184934291
Entity type: Organization (Type 2)
Issued: Oct 8, 2010
Last updated: Nov 2, 2023
Status: Active
Subpart: Yes of Spectrum Health Hospitals

Other names

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Corewell Health Grand Rapids Hospitals · doing business as

Authorized official

Pauline (polly) Krywanski
CFO
(616) 486-2253

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About NPI 1184934291

Spectrum Health Hospitals's National Provider Identifier is 1184934291, issued on Oct 8, 2010. The primary taxonomy on file is Clinical Genetics (M.D.) Physician (207SG0201X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 2, 2023.