Organization · Type 2 NPI

Spectrum Health Hospitals

Pediatric Cardiology Physician · Grand Blanc, MI

NPI number 1508167057 Active

Practice location

8273 S Saginaw St, Suite B
Grand Blanc, MI 48439-2465

Call (810) 953-5622 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Pediatric Cardiology Physician Primary	2080P0202X	None listed

Pediatric Cardiology Physician: A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.

2 other providers at this address

Other pediatric cardiology physician providers in Grand Blanc

See all in Grand Blanc →

NPI record

NPI: 1508167057
Entity type: Organization (Type 2)
Issued: Nov 15, 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

Polly Krywanski
SVP of 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 1508167057

Spectrum Health Hospitals's National Provider Identifier is 1508167057, issued on Nov 15, 2010. The primary taxonomy on file is Pediatric Cardiology Physician (2080P0202X), and the practice location is in Grand Blanc, MI. The record was last updated on Nov 2, 2023.