Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Family Medicine Physician · Grandville, MI

NPI number 1487965067 Active

Practice location

6105 Wilson Ave SW
Grandville, MI 49418-9714

Call (616) 486-5025 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed
Urgent Care Clinic/Center	261QU0200X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

32 other providers at this address

Other family medicine physician providers in Grandville

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NPI record

NPI: 1487965067
Entity type: Organization (Type 2)
Issued: Jun 29, 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
SVP
(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 1487965067

Spectrum Health Primary Care Partners's National Provider Identifier is 1487965067, issued on Jun 29, 2010. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Grandville, MI. The record was last updated on Oct 31, 2023.