| NPI | 1063781342 |
|---|---|
| Doing Business As | COREWELL HEALTH GREENVILLE HOSPITAL PROFESSIONAL |
| Entity Type | Organization |
| Authorized Contact | RYAN K JOHNSON VP, Provider Services 616-225-6310 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2023-08-24 |