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

Spectrum Health Primary Care Partners

Organization Pediatric Adolescent Medicine Physician · NPI 1265732861

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

In the registry since
2010

Practice location Address checks out

2355 Knapp St NE
Grand Rapids, MI 49505-4415
Phone: (616) 391-2123
Show map & directions

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

Specialties & licences

Pediatric Adolescent Medicine Physician (primary) Taxonomy 2080A0000X

Record details

NPI number1265732861
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Svp Finance · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedOctober 28, 2010
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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