NPI | 1346698784 |
---|---|
Doing Business As | COREWELL HEALTH MEDICAL GROUP WEST |
Entity Type | Organization |
Authorized Contact | PAULINE KRYWANSKI SVP Finance 616-486-2253 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
207R00000X Internal Medicine | |
Enumeration Date | 2016-05-26 |
Last Update Date | 2023-10-30 |