NPI 1184934291

Spectrum Health Hospitals

Organisation Clinical Genetics (M.D.) Physician Grand Rapids, MI

Practice location

Address: 25 Michigan St NE Suite 2000, Grand Rapids, MI 49503-2515
Phone: (616) 391-2700
Mailing address: 100 Michigan St NE Mc845, Grand Rapids, MI 49503-2560

Authorised official

Name: Pauline (polly) Krywanski
Title: Cfo
Phone: (616) 486-2253

Registered specialties

Clinical Genetics (M.D.) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207SG0201X

Other Medical Genetics providers in Michigan →

Registry record

NPI: 1184934291
Entity type: Organization
NPI issued: 8 Oct 2010
Record last updated: 2 Nov 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.