Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Pediatric Orthopaedic Surgery Physician · Lansing, MI

NPI number 1578839338 Active

Practice location

2815 S Pennsylvania Ave, Suite 204
Lansing, MI 48910-3495

Call (616) 267-2600 Map

Fax (616) 267-2601

Mailing address

35 Michigan St NE, Suite 4150
Grand Rapids, MI 49503-2514

Specialties and licenses

Taxonomy	Code	License
Pediatric Orthopaedic Surgery Physician Primary	207XP3100X	None listed

Pediatric Orthopaedic Surgery Physician: An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones.

38 other providers at this address

NPI record

NPI: 1578839338
Entity type: Organization (Type 2)
Issued: Mar 27, 2012
Last updated: Oct 30, 2023
Status: Active
Subpart: Yes of Spectrum Health Primary Care Partners

Other names

<unavail>
Corewell Health Medical Group West · doing business as

Authorized official

Polly Krywanski
SVP, Finance
(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.

Is this your record? How to update it.

About NPI 1578839338

Spectrum Health Primary Care Partners's National Provider Identifier is 1578839338, issued on Mar 27, 2012. The primary taxonomy on file is Pediatric Orthopaedic Surgery Physician (207XP3100X), and the practice location is in Lansing, MI. The record was last updated on Oct 30, 2023.