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

Spectrum Health Primary Care Partners

Organization Colon & Rectal Surgery Physician · NPI 1194037127

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

In the registry since
2010

Practice location Address checks out

3230 Eagle Park Dr NE Ste 210
Grand Rapids, MI 49525-7007
Phone: (616) 456-8613
Show map & directions

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

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X

Record details

NPI number1194037127
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, Mc845, Grand Rapids, MI 49503-2560

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