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

Spectrum Health Primary Care Partners

Organization Family Medicine Physician · NPI 1053623074

Spectrum Health Primary Care Partners is a Family Medicine Physician in Kentwood, Michigan. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

4600 Breton Rd SE Ste 102
Kentwood, MI 49508-5262
Phone: (616) 391-9700
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1053623074
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 enumeratedJuly 7, 2010
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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