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

Spectrum Health Primary Care Partners

Organization Psychiatry Physician · NPI 1437436268

Spectrum Health Primary Care Partners is a Psychiatry Physician in Grand Rapids, Michigan. Registered with an NPI since 2011.

In the registry since
2011
Specialties on file
2

Practice location Address checks out

3351 Eagle Run Dr NE
Grand Rapids, MI 49525-7070
Phone: (616) 454-2004
Fax: (616) 454-0061
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X
Urology Physician Taxonomy 208800000X

Record details

NPI number1437436268
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Polly (Pauline) Krywanski — Svp, Finance · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedNovember 8, 2011
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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