Organization · Type 2 NPI

Spectrum Health Primary Care Partners

Geriatric Medicine (Internal Medicine) Physician · Grand Rapids, MI

NPI number 1699170936 Active

Practice location

3600 Fulton St E
Grand Rapids, MI 49546-1322

Call (616) 267-7668 Map

Mailing address

100 Michigan St NE, Mc 485
Grand Rapids, MI 49503-2560

Specialties and licenses

Taxonomy	Code	License
Internal Medicine Physician	207R00000X	None listed
Geriatric Medicine (Internal Medicine) Physician Primary	207RG0300X	None listed
Pediatric Cardiology Physician	2080P0202X	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.

15 other providers at this address

Other geriatric medicine (internal medicine) physician providers in Grand Rapids

See all in Grand Rapids →

NPI record

NPI: 1699170936
Entity type: Organization (Type 2)
Issued: Oct 29, 2014
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

Authorized official

Pauline 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 1699170936

Spectrum Health Primary Care Partners's National Provider Identifier is 1699170936, issued on Oct 29, 2014. The primary taxonomy on file is Geriatric Medicine (Internal Medicine) Physician (207RG0300X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 31, 2023.