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 1508269705

Spectrum Health Primary Care Partners is a Cardiovascular Disease Physician in Lake Odessa, Michigan. Registered with an NPI since 2014.

In the registry since
2014
Specialties on file
4

Practice location Address checks out

4294 Laurel Dr
Lake Odessa, MI 48849-8430
Phone: (616) 885-5000
Show map & directions

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

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Clinical Cardiac Electrophysiology Physician Taxonomy 207RC0001X
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X
Interventional Cardiology Physician Taxonomy 207RI0011X

Record details

NPI number1508269705
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Svp Finance · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedOctober 1, 2014
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

Other providers in Lake Odessa