Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spectrum Health Hospitals

Organization Neurological Surgery Physician · NPI 1225339773

Spectrum Health Hospitals is a Neurological Surgery Physician in Grand Rapids, Michigan. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

412 Plymouth Ave NE
Grand Rapids, MI 49505-6028
Phone: (616) 742-5902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X

Record details

NPI number1225339773
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Hospitals
Authorized official Polly Krywanski — Svp Of Finance · (616) 486-2253
NPI enumeratedNovember 15, 2010
Last updated in NPPESNovember 15, 2010
Mailing address100 Michigan St Ne, Grand Rapids, MI 49503-2560

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