Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Geriatric Medicine (Internal Medicine) Physician · Hudsonville, MI

NPI number 1578873048 Active

Practice location

4482 Port Sheldon
Hudsonville, MI 49426

Call (616) 662-8191 Map

Mailing address

100 Michigan Street NE, MC845
Grand Rapids, MI 49503

Specialties and licenses

Taxonomy	Code	License
Geriatric Medicine (Internal Medicine) Physician Primary	207RG0300X	None listed

Geriatric Medicine (Internal Medicine) Physician: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

NPI record

NPI: 1578873048
Entity type: Organization (Type 2)
Issued: Oct 18, 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) 284-8805

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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 1578873048

Spectrum Health Primary Care Partners's National Provider Identifier is 1578873048, issued on Oct 18, 2010. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Hudsonville, MI. The record was last updated on Oct 31, 2023.