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

Spectrum Health Primary Care Partners

Organization Pediatric Orthopaedic Surgery Physician · NPI 1760792808

Spectrum Health Primary Care Partners is a Pediatric Orthopaedic Surgery Physician in Grand Rapids, Michigan. Registered with an NPI since 2010.

In the registry since
2010
Specialties on file
2

Practice location Address checks out

1425 Michigan St NE
Grand Rapids, MI 49503-2027
Phone: (616) 391-9814
Show map & directions

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

Specialties & licences

Pediatric Orthopaedic Surgery Physician (primary) Taxonomy 207XP3100X
Urology Physician Taxonomy 208800000X

Record details

NPI number1760792808
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 7, 2010
Last updated in NPPESOctober 27, 2023
Certification dateOctober 27, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

Other providers in Grand Rapids