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SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI 1669854816


NPI Information

NPI: 1669854816
Provider Name: SPECTRUM HEALTH PRIMARY CARE PARTNERS

Doing Business As: SPECTRUM HEALTH MEDICAL GROUP

Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization

CLIA Number: 23D0380241

Address:
4249 PARKWAY PLACE DR SW
GRANDVILLE, MI
ZIP 49418
Phone: (616) 774-7035
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SPECTRUM HEALTH PRIMARY CARE PARTNERS is an obstetrics gynecology in Grandville, MI. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SPECTRUM HEALTH PRIMARY CARE PARTNERS NPI is 1669854816. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Spectrum Health Medical Group.

The provider's business location address is:

4249 PARKWAY PLACE DR SW
GRANDVILLE, MI
ZIP 49418-679
Phone: (616) 774-7035

The provider's authorized official is Pauline Krywanski .
The authorized official title is Svp Finance and has the following contact phone number (616) 486-2253.

The CLIA number assigned to this NPI record is 23D0380241 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/24/2015 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
1207VM0101XObstetrics & GynecologyMaternal & Fetal MedicineNo
2207V00000XObstetrics & GynecologyYes

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: 5/5/2024

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