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

Spectrum Health Primary Care Partners

Organization Psychiatry Physician · NPI 1144505058

Spectrum Health Primary Care Partners is a Psychiatry Physician in Grand Rapids, Michigan. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

1179 E Paris Ave SE Ste 220
Grand Rapids, MI 49546-8371
Phone: (616) 454-2004
Fax: (616) 454-0061
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Taxonomy 208G00000X

Record details

NPI number1144505058
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Polly (Pauline) Krywanski — Svp - Finance · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedOctober 12, 2011
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing address100 Michigan St Ne, Mc845, Grand Rapids, MI 49503-2560

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