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

Spectrum Health Primary Care Partners

Organization Geriatric Medicine (Internal Medicine) Physician · NPI 1639489107

Spectrum Health Primary Care Partners is a Geriatric Medicine (Internal Medicine) Physician in Grandville, Michigan. Registered with an NPI since 2010.

In the registry since
2010

Practice location Address checks out

141 Port Sheldon Rd
Grandville, MI 49418
Phone: (616) 457-3050
Show map & directions

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

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X

Record details

NPI number1639489107
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 enumeratedOctober 18, 2010
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing address100 Michigan Street Ne, Mc845, Grand Rapids, MI 49503

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