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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1043529225


NPI Information

NPI: 1043529225
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST

Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
1545 68TH ST SE
GRAND RAPIDS, MI
ZIP 49508
Phone: (616) 534-9881
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is a pediatrics in Grand Rapids, MI. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1043529225. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Corewell Health Medical Group West.

The provider's business location address is:

1545 68TH ST SE
GRAND RAPIDS, MI
ZIP 49508-896
Phone: (616) 534-9881

The provider's authorized official is Pauline Krywanski .
The authorized official title is Cfo and has the following contact phone number (616) 486-2253.

The enumeration date for this NPI number is 10/5/2010 and was last updated on 10/30/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3208000000XPediatricsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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