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

Spectrum Health Primary Care Partners

Organization Registered Dietitian · NPI 1720397441

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

In the registry since
2010
Specialties on file
3

Practice location Address checks out

4100 Lake Dr SE Ste B01
Grand Rapids, MI 49546-8292
Phone: (616) 974-4400
Show map & directions

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

Specialties & licences

Obesity Medicine (Family Medicine) Physician (primary) Taxonomy 207QB0002X
Registered Dietitian Taxonomy 133V00000X
Surgery Physician Taxonomy 208600000X

Record details

NPI number1720397441
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Primary Care Partners
Authorized official Pauline Krywanski — Svp · (616) 486-2253
Other names Corewell Health Medical Group West Bariatrics And Weight Loss
NPI enumeratedSeptember 29, 2010
Last updated in NPPESOctober 26, 2023
Certification dateOctober 26, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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