| NPI | 1336422948 |
|---|---|
| Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | LESLIE FLAKE SVP Finance 616-391-2525 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207LA0401X Anesthesiology, Addiction Medicine |
| 207QA0401X Family Medicine, Addiction Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2023-10-31 |