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

Spectrum Health Primary Care Partners

Organization Surgery Physician · NPI 1174835102

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

In the registry since
2010
Specialties on file
3

Practice location Address checks out

4085 Burton St SE Ste 312
Grand Rapids, MI 49546-2444
Phone: (616) 284-8842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X
Surgery Physician Taxonomy 208600000X
Surgical Critical Care Physician Taxonomy 2086S0102X

Record details

NPI number1174835102
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Cfo · (616) 486-2253
NPI enumeratedJuly 7, 2010
Last updated in NPPESJuly 7, 2010
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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