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

Spectrum Health Primary Care Partners

Organization Foot & Ankle Surgery Podiatrist · NPI 1386959856

Spectrum Health Primary Care Partners is a Foot & Ankle Surgery Podiatrist in Grand Rapids, Michigan. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

4069 Lake Dr SE Ste 315
Grand Rapids, MI 49546-8816
Phone: (616) 464-2810
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X

Record details

NPI number1386959856
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Svp · (616) 486-2253
NPI enumeratedAugust 9, 2010
Last updated in NPPESDecember 2, 2010
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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