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

Spectrum Health Primary Care Partners

Organization Internal Medicine Physician · NPI 1053620237

Spectrum Health Primary Care Partners is an Internal Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
5
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Practice location Address checks out

4100 Lake Dr SE
Grand Rapids, MI 49546-8292
Phone: (616) 267-7100
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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
Gastroenterology Physician Taxonomy 207RG0100X
Pulmonary Disease Physician Taxonomy 207RP1001X
Sleep Medicine (Psychiatry & Neurology) Physician Taxonomy 2084S0012X
Colon & Rectal Surgery Physician Taxonomy 208C00000X

Record details

NPI number1053620237
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Cfo · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedOctober 5, 2010
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address100 Michigan St Ne, Mc845, Grand Rapids, MI 49503-2560

Other providers in Grand Rapids