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 Emergency Medicine Physician · NPI 1730421298

Spectrum Health Primary Care Partners is an Emergency Medicine Physician in Grand Rapids, Michigan. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
4
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Practice location Address checks out

3350 Broadmoor Ave SE
Grand Rapids, MI 49512-2867
Phone: (616) 391-8020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Emergency Medicine Physician Taxonomy 207P00000X
Urgent Care Clinic/Center Taxonomy 261QU0200X
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1730421298
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 enumeratedMarch 22, 2013
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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