| NPI | 1215697065 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | LESLIE FLAKE VP, Finance 616-391-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2023-10-30 |