NPI | 1013392653 |
---|---|
Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
Entity Type | Organization |
Authorized Contact | PAULINE KRYWANSKI SVP Finance 616-486-2253 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2015-07-24 |
Last Update Date | 2023-10-31 |