Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Psychiatry Physician · Grand Rapids, MI

NPI number 1437436268 Active

Practice location

3351 Eagle Run Dr NE
Grand Rapids, MI 49525-7070

Call (616) 454-2004 Map

Fax (616) 454-0061

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	None listed
Urology Physician	208800000X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

9 other providers at this address

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NPI record

NPI: 1437436268
Entity type: Organization (Type 2)
Issued: Nov 8, 2011
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

Polly (pauline) Krywanski
SVP, Finance
(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 1437436268

Spectrum Health Primary Care Partners's National Provider Identifier is 1437436268, issued on Nov 8, 2011. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 31, 2023.