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

Spectrum Health Primary Care Partners

Organization Cardiovascular Disease Physician · NPI 1578860912

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

In the registry since
2011
Specialties on file
2
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Practice location Address checks out

700 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 365-2310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Neurodevelopmental Disabilities Physician (primary) Taxonomy 2080P0008X
Cardiovascular Disease Physician Taxonomy 207RC0000X

Record details

NPI number1578860912
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Polly Krywanski — Svp, Finance · (616) 486-2253
Other names Corewell Health Medical Group West
NPI enumeratedFebruary 22, 2011
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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