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 |