NPI 1194037127

Spectrum Health Primary Care Partners

Organisation Colon & Rectal Surgery Physician Grand Rapids, MI

Practice location

Address: 3230 Eagle Park Dr NE Suite 210, Grand Rapids, MI 49525-7007
Phone: (616) 456-8613
Mailing address: 100 Michigan St NE Mc845, Grand Rapids, MI 49503-2560

Authorised official

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

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X

Other Colon & Rectal Surgery providers in Michigan →

Registry record

NPI: 1194037127
Entity type: Organization
NPI issued: 7 Jul 2010
Record last updated: 31 Oct 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.