| NPI | 1275190456 |
|---|---|
| Doing Business As | SPECTRUM HEALTH MEDICAL GROUP |
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST RETAIL CLINIC WYOMING |
| Entity Type | Organization |
| Authorized Contact | RYAN CATIGNANI VP Finance 947-522-0008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2023-10-26 |