| NPI | 1063947778 |
|---|---|
| Doing Business As | SPECTRUM HEALTH MEDICAL GROUP |
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | LEISA KIMBROUGH Sr. Director Physician Revenue 616-486-6790 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363A00000X Physician Assistant | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2023-10-30 |