| NPI | 1306156443 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | PAULINE KRYWANSKI CFO 616-486-2253 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080C0008X Pediatrics, Child Abuse Pediatrics |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2023-10-31 |