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 Dermatology Physician · NPI 1942510078

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

In the registry since
2010
Specialties on file
5

Practice location Address checks out

230 Michigan St NE
Grand Rapids, MI 49503-2550
Phone: (616) 391-3966
Show map & directions

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

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X
Pediatric Dermatology Physician Taxonomy 207NP0225X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pediatric Endocrinology Physician Taxonomy 2080P0205X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1942510078
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 30, 2023
Certification dateOctober 30, 2023
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

Other providers in Grand Rapids