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 Emergency Medicine Physician · NPI 1083956288

Spectrum Health Primary Care Partners is an Emergency Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
3
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Practice location Address checks out

80 68th St SE
Grand Rapids, MI 49548-6980
Phone: (616) 391-8242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1083956288
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Svp, Finance · (616) 486-2253
NPI enumeratedMarch 26, 2013
Last updated in NPPESDecember 23, 2013
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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