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 1528300738

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

Licensed in
MI
In the registry since
2013
Specialties on file
4
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Practice location Address checks out

6105 Wilson Ave SW
Wyoming, MI 49418-9714
Phone: (616) 486-5100
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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
Cardiovascular Disease Physician Taxonomy 207RC0000X (MI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1528300738
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

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