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

Spectrum Health Primary Care Partners

Organization Cardiovascular Disease Physician · NPI 1407156052

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

In the registry since
2010
Specialties on file
2

Practice location Address checks out

1040 Monroe Ave NW
Grand Rapids, MI 49503
Phone: (616) 284-8805
Show map & directions

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

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1407156052
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanksi — Svp Finance · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedOctober 29, 2010
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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