Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Obstetrics & Gynecology Physician · Grandville, MI

NPI number 1669854816 Active

Practice location

4249 Parkway Place Dr SW
Grandville, MI 49418-2679

Call (616) 774-7035 Map

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Obstetrics & Gynecology Physician Primary	207V00000X	None listed
Maternal & Fetal Medicine Physician	207VM0101X	None listed

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

NPI record

NPI: 1669854816
Entity type: Organization (Type 2)
Issued: Jun 24, 2015
Last updated: Oct 31, 2023
Status: Active
Subpart: Yes of Spectrum Health Primary Care Partners

Other names

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

Authorized official

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 1669854816

Spectrum Health Primary Care Partners's National Provider Identifier is 1669854816, issued on Jun 24, 2015. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in Grandville, MI. The record was last updated on Oct 31, 2023.