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

Spectrum Health Primary Care Partners

Organization Otolaryngology Physician · NPI 1336488840

Spectrum Health Primary Care Partners is an Otolaryngology Physician in South Haven, Michigan. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4

Practice location Address checks out

965 S Bailey Ave Ste 2-5
South Haven, MI 49090-6743
Phone: (616) 494-5860
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X
Audiologist Taxonomy 231H00000X
Audiologist-Hearing Aid Fitter Taxonomy 237600000X

Record details

NPI number1336488840
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Svp Finance · (616) 486-2253
NPI enumeratedFebruary 4, 2013
Last updated in NPPESFebruary 4, 2013
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560