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

Spectrum Health Primary Care Partners

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1184934226

Spectrum Health Primary Care Partners is a Geriatric Medicine (Internal Medicine) Physician in Sparta, Michigan. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

65 Ida Red Ave
Sparta, MI 49345-1735
Phone: (616) 887-0100
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X
Maternal & Fetal Medicine Physician Taxonomy 207VM0101X

Record details

NPI number1184934226
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 7, 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 Sparta