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

Spectrum Health Hospitals

Organization Internal Medicine Physician · NPI 1508149113

Spectrum Health Hospitals is an Internal Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

3000 Monroe Ave NE
Grand Rapids, MI 49505-3313
Phone: (616) 391-8635
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1508149113
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Hospitals
Authorized official Pauline Krywanski — Svp · (616) 486-2253
Other names Corewell Health Grand Rapids Hospitals
NPI enumeratedSeptember 21, 2011
Last updated in NPPESNovember 1, 2023
Certification dateNovember 1, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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