NPI 1952604878

Spectrum Health Primary Care Partners

Organisation Colon & Rectal Surgery Physician Grand Rapids, MI

Practice location

Address: 1179 E Paris Ave SE STE. 200, Grand Rapids, MI 49546-8371
Phone: (616) 277-7100
Mailing address: 100 Michigan St NE Mc 845, Grand Rapids, MI 49503-2560

Authorised official

Name: Pauline Krywanski
Title: Svp
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: 1952604878
Entity type: Organization
NPI issued: 15 Dec 2010
Record last updated: 27 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.