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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1194037127


NPI Information

NPI: 1194037127
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST

Classification: Colon & Rectal Surgery - 208C00000X
Entity Type: Organization
Address:
3230 EAGLE PARK DR NE
SUITE 210
GRAND RAPIDS, MI
ZIP 49525
Phone: (616) 456-8613
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is a colon rectal surgery in Grand Rapids, MI. The provider is a colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1194037127. 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:

3230 EAGLE PARK DR NE
SUITE 210
GRAND RAPIDS, MI
ZIP 49525-007
Phone: (616) 456-8613

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 7/7/2010 and was last updated on 10/31/2023.


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
1208C00000XColon & Rectal SurgeryYes

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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