OrganizationActive
Spectrum Health Primary Care Partners
NPI 1972880920 · Pediatric Endocrinology Physician · Saint Joseph, MI
Provider details
- NPI number
- 1972880920
- Entity type
- Organization
- Primary specialty
- Pediatric Endocrinology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Spectrum Health Primary Care Partners
- Authorized official
- Polly Krywanski, Svp Finance
Practice location
3950 Hollywood Rd
Suite 240
Saint Joseph, MI 49085-9159
Phone: (616) 267-2500
Fax: (616) 267-2501
Mailing address
100 Michigan St Ne
Grand Rapids, MI 49503-2560
Registry dates
- Enumerated
- 2011-11-04
- Last updated
- 2023-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.