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

Spectrum Health Primary Care Partners

Organization Gynecologic Oncology Physician · NPI 1487966412

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

In the registry since
2010
Specialties on file
3

Practice location Address checks out

145 Michigan St NE
Grand Rapids, MI 49503-2562
Phone: (616) 486-6333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X
Gynecologic Oncology Physician Taxonomy 207VX0201X
Urology Physician Taxonomy 208800000X

Record details

NPI number1487966412
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Cfo · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedJuly 7, 2010
Last updated in NPPESOctober 30, 2023
Certification dateOctober 30, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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