| NPI | 1053906859 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | ELISABETH LACEY Credentialing Manager 616-486-6630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2023-10-31 |