| NPI | 1326599671 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST PEDIATRIC DIABETES EDUCATION |
| Doing Business As | SPECTRUM HEALTH MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | RYAN CATIGNANI VP Finance 947-522-0008 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2023-10-26 |