OrganizationActive
Spectrum Health Primary Care Partners
NPI 1578839338 · Pediatric Orthopaedic Surgery Physician · Lansing, MI
Provider details
- NPI number
- 1578839338
- Entity type
- Organization
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spectrum Health Primary Care Partners
- Authorized official
- Polly Krywanski, Svp, Finance
Practice location
2815 S Pennsylvania Ave
Suite 204
Lansing, MI 48910-3495
Phone: (616) 267-2600
Fax: (616) 267-2601
Mailing address
35 Michigan St Ne
Grand Rapids, MI 49503-2514
Registry dates
- Enumerated
- 2012-03-27
- Last updated
- 2023-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.