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

Spectrum Health Hospitals

Organization Emergency Medicine Physician · NPI 1356683569

Spectrum Health Hospitals is an Emergency Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3350 Broadmoor Ave SE
Grand Rapids, MI 49512-2867
Phone: (616) 391-8020
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1356683569
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Hospitals
Authorized official Pauline Krywanski — Svp, Finance · (616) 486-2253
Other names Corewell Health Grand Rapids Hospitals
NPI enumeratedMarch 26, 2013
Last updated in NPPESNovember 2, 2023
Certification dateNovember 2, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

Other providers in Grand Rapids