Spectrum Health Primary Care Partners
Pediatrics, Pediatric Nephrology in Kalamazoo, MI. Organization (NPI-2).
NPI number1376905554
StatusActive
Last updated in NPPESOct 27, 2023
Details
- NPI
- 1376905554
- Entity type
- Organization (NPI-2)
- Legal business name
- Spectrum Health Primary Care Partners
- Organization subpart
- Yes
- Enumeration date
- Mar 25, 2016
- Certification date
- Oct 27, 2023
- Last updated
- Oct 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0210X | Pediatrics, Pediatric Nephrology | – | – | Yes |
Other names
- Corewell Health Medical Group West (Doing Business As)
Practice location
1000 Oakland DrKalamazoo, MI 49008-1282
Phone 616-267-2400
Mailing address
100 Michigan St NeMc 845
Grand Rapids, MI 49503-2560
Authorized official
Pauline Krywanski
Svp Finance
6164862253
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