COREWELL HEALTH MEDICAL GROUP WEST
NPI 1508269705
Internal Medicine - Cardiovascular Disease in Lake Odessa, MI

Q: What is Spectrum Health Primary Care Partners's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since October 01, 2014

4294 LAUREL DR, LAKE ODESSA, MI 48849(616) 885-5000 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Corewell Health Medical Group West NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COREWELL HEALTH MEDICAL GROUP WEST (NPI 1508269705) is a healthcare organization registered as a cardiovascular disease in Lake Odessa, Michigan and active in the NPI registry since October 2014. The organization lists Pauline Krywanski, Svp Finance, as its authorized official.

NPPES Registry Identity

NPI1508269705

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameSPECTRUM HEALTH PRIMARY CARE PARTNERS

Location Address4294 LAUREL DRLake Odessa, MI 48849-8430

Mailing Address100 Michigan St Ne, Mc 845Grand Rapids, MI 49503-2560 · (616) 486-6790

Phone(616) 885-5000

Organization SubpartYes

Authorized OfficialPauline KrywanskiSvp Finance · (616) 486-2253

Enumeration DateOctober 1, 2014

Last NPPES UpdateOctober 31, 2023

NPPES CertifiedOctober 31, 2023

✔ NPI 1508269705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X

Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X

4294 LAUREL DR, Lake Odessa, MI 48849

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Other Names 1

Doing Business AsCorewell Health Medical Group West

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE VANBUREN NP

Nurse Practitioner (Family)