SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1053623074

NPI Information

  • NPI: 1053623074
  • Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: COREWELL HEALTH MEDICAL GROUP WEST
  • CLIA Number: 23D0701628
  • Address: 4600 BRETON RD SE
    SUITE 102
    KENTWOOD, MI
    ZIP 49508
  • Phone: (616) 391-9700

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NPI Details

SPECTRUM HEALTH PRIMARY CARE PARTNERS is a family medicine in Kentwood, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1053623074. 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:

4600 BRETON RD SE
SUITE 102
KENTWOOD, MI
ZIP 49508-262
Phone: (616) 391-9700

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 CLIA number assigned to this NPI record is 23D0701628 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

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This page was last updated on: 3/30/2025

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