Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Obstetrics & Gynecology Physician · Grand Rapids, MI

NPI number 1235441262 Active

Practice location

555 Midtowne St NE, Suite 302
Grand Rapids, MI 49503-5729

Call (616) 391-3315 Map

Mailing address

100 Michigan St NE, Mc 845
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Physician Assistant	363A00000X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

20 other providers at this address

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NPI record

NPI: 1235441262
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

Verify this record

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 1235441262

Spectrum Health Primary Care Partners's National Provider Identifier is 1235441262, issued on Jul 7, 2010. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 31, 2023.