Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spectrum Health Hospital

Organization Pediatrics Physician · NPI 1619274834

Spectrum Health Hospital provides Pediatrics Physician services in Grand Rapids, Michigan. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

330 Barclay Ave NE Ste 303
Grand Rapids, MI 49503-2556 Not confirmed with CMS for 15 years — call before visiting
Phone: (616) 391-7999
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1619274834
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpectrum Health Hospital
Authorized official Polly Krywanski — Svp, Finance · (616) 486-2253
NPI enumeratedFebruary 24, 2011
Last updated in NPPESFebruary 24, 2011
Mailing address100 Michigan St Ne, Mc 845, Grand Rapids, MI 49503-2560

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