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Spectrum Health Primary Care Partners

Organization Active NPI Sleep Medicine (Psychiatry & Neurology) Physician · Lakeview, MI

NPI 1033416474 · NPPES record last updated Oct 31, 2023

Key facts

NPI
1033416474
Entity type
Organization (NPI type 2)
Primary specialty
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X
Legal business name
SPECTRUM HEALTH PRIMARY CARE PARTNERS
Practice address
418 Washington St
Lakeview, MI 48850-9806
Phone
(989) 352-8452
NPI assigned
Feb 22, 2011
Organization subpart
Yes
Parent organization (as reported)
SPECTRUM HEALTH PRIMARY CARE PARTNERS

Authorized official

Name
Polly Krywanski
Title
SVP, Finance
Phone
(616) 486-2253

Corporate family (same tax ID) 17

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Spectrum Health Partners (197 organizations share this tax ID)
Part of
Spectrum Health Partners

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Endocrinology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2080P0205X
Sleep Medicine (Psychiatry & Neurology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2084S0012X Yes

Addresses

Primary practice location

418 Washington St
Lakeview, MI 48850-9806

Mailing address

100 Michigan St NE
MC 845
Grand Rapids, MI 49503-2560
Phone (616) 486-6795

Other names

  • Corewell Health Medical Group West Doing business as

Other providers in Lakeview, MI

All providers in Lakeview, MI · Sleep Medicine (Psychiatry & Neurology) Physician in Michigan

Sources for this page

Verify at the official NPI Registry.