Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Colon & Rectal Surgery Physician · Grand Rapids, MI

NPI number 1194037127 Active

Practice location

3230 Eagle Park Dr NE, Suite 210
Grand Rapids, MI 49525-7007

Call (616) 456-8613 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Colon & Rectal Surgery Physician Primary	208C00000X	None listed

Colon & Rectal Surgery Physician: A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

16 other providers at this address

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NPI record

NPI: 1194037127
Entity type: Organization (Type 2)
Issued: Jul 7, 2010
Last updated: Oct 31, 2023
Status: Active
Subpart: Yes of Spectrum Health Primary Care Partners

Other names

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Corewell Health Medical Group West · doing business as

Authorized official

Pauline Krywanski
CFO
(616) 486-2253

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1194037127

Spectrum Health Primary Care Partners's National Provider Identifier is 1194037127, issued on Jul 7, 2010. The primary taxonomy on file is Colon & Rectal Surgery Physician (208C00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 31, 2023.