OrganizationActive
Spectrum Health Primary Care Partners
NPI 1720397441 · Obesity Medicine (Family Medicine) Physician · Grand Rapids, MI
Provider details
- NPI number
- 1720397441
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spectrum Health Primary Care Partners
- Authorized official
- Pauline Krywanski, Svp
Practice location
4100 Lake Dr Se
Suite B01
Grand Rapids, MI 49546-8292
Phone: (616) 974-4400
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2010-09-29
- Last updated
- 2023-10-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.