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

Spectrum Health Primary Care Partners

Organization Pediatrics Physician · NPI 1033593686

Spectrum Health Primary Care Partners is a Pediatrics Physician in Petoskey, Michigan. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
3

Practice location Address checks out

345 N Division Rd
Petoskey, MI 49770-9416
Phone: (616) 391-3933
Show map & directions

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

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1033593686
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Svp Finance · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedJuly 14, 2015
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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