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

Spectrum Health Primary Care Partners

Organization Allergy & Immunology Physician · NPI 1356653380

Spectrum Health Primary Care Partners is an Allergy & Immunology Physician in Grand Rapids, Michigan. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
9
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Practice location Address checks out

4069 Lake Dr SE
Grand Rapids, MI 49546-8816
Phone: (616) 267-8700
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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
Allergy & Immunology Physician Taxonomy 207K00000X
Internal Medicine Physician Taxonomy 207R00000X
Endocrinology, Diabetes & Metabolism Physician Taxonomy 207RE0101X
Gastroenterology Physician Taxonomy 207RG0100X
Surgery Physician Taxonomy 208600000X
Colon & Rectal Surgery Physician Taxonomy 208C00000X
Audiologist Taxonomy 231H00000X
Audiologist-Hearing Aid Fitter Taxonomy 237600000X

Record details

NPI number1356653380
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Adrienne Bryan — Director · (616) 643-9123
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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